Journal of the Korean Orthopaedic Association (대한정형외과학회지)

Korean Orthopaedic Association (대한정형외과학회)
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Granuloma Mimics a Clinical Manifestation of Lumbar Spinal Stenosis after Acupuncture - A Case Report -

침술 후 요추부 척추관 협착증을 유발한 육아종 -증례 보고-

Ha, Kee-Yong;Kim, Young-Hoon;Hwang, Tae-Hyok
하기용;김영훈;황태혁

  • Published : 20030000
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Abstract

Recently, the use of acupuncture has been increasing for the management of low back pain and herniated nucleus pulposus. There are many debates on its usefulness and associated complications. Complications such as hemorrhage, infection, direct internal organ or nerve injury and disease transmission have been reported. We report a case of dural sac and nerve root compression caused by chronic inflammatory granuloma. This chronic inflammatory granuloma, which might have been formed by local hemorrhage or lowgrade infection after acupuncture is highly suspected to produce the symptoms of spinal stenosis; moreover, after surgical excision of the granuloma the patient's symptoms were eliminated. Hence, we report this case and discuss the possibility of the acupuncture as a cause.

최근 만성 요통 및 추간판 탈출증에서 침술의 이용이 점차 증가 하고 있으나, 침술의 유용성에 대하여 많은 논란이 있다. 또한 침술에 따른 합병증에 대하여 점차 많은 보고가 이루어지고 있다. 침술 후 합병증으로 감염, 출혈 및 내부 장기나 신경의 직접적인 손상 등이 보고되었으나, 척추 후관절 및 신경관 주위의 육아종 형성으로 인한 신경의 압박 및 척추관 협착증 증세를 유발하였던 증례에 대한 보고는 없었다. 저자들은 제 4-5 요추부 척추관 협착증 증세를 보인 환자에서 만성 염증성 육아종의 제거 후 증상의 완화를 경험하였으며, 만성 염증성 육아종의 원인으로 요추부에 시술 된 침술의 가능성에 대하여 문헌 고찰과 함께 보고하는 바이다.

Keywords

References

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