Emerging Areas of Interest
y Spinal Adjusting and cerebrospinal fluid leaks ◦ Presentation: positional headache caused by CSF leak from a dural tear ◦ Most common origins: Mechanical disruptions from lumbar puncture, myelography, spinal anesthesia, cranio- spinal surgery ◦ Other mechanical events associated:Valsalva maneuver, coughing, sneezing etc ◦ First published observation re: spinal adjusting by Mokri, 1997 Mayo Clin Proceedings. No causal relationship asserted, observation that one patient in study had seen a chiropractor
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