Open Access

Intracranial hypotension syndrome following chiropractic manipulation of the cervical spine

  • N. Morelli1, 2Email author,
  • S. Gallerini1,
  • S. Gori1,
  • A. Chiti1,
  • M. Cosottini1,
  • G. Orlandi1 and
  • L. Murri1
The Journal of Headache and Pain20067:308

Received: 28 April 2006

Accepted: 1 June 2006

Published: 11 August 2006


Cervical spine manipulation has been associated with several disorders such as cervical arteries dissection, but rarely has a relationship with intracranial hypotension been reported. We describe a patient showing intracranial hypotension syndrome following chiropractic cervical spine treatment. Magnetic resonance showed the presence of dural leakage at cervical level, suggesting the pathogenesis of the syndrome. We state that cervical spine manipulation should be considered a treatment with risk of neurological complications, including the occurrence of intracranial hypotension.

Key words

ChiropracticIntracranial hypotension syndromeHeadache