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Possible mechanism and Atorvastatin-based treatment in cupping therapy-related subdural hematoma: A case report and literature review

Subdural hematoma (SDH) is one of the most lethal types of traumatic brain injury. SDH caused by Intracranial Pressure Reduction (ICPR) is rare, and the mechanism remains unclear. Here, we report three cases of SDH that occurred after substandard cupping therapy and are conjected to be associated wi...

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Autores principales: Xiang, Tangtang, Zhang, Xinjie, Wei, Yingsheng, Feng, Dongyi, Gong, Zhitao, Liu, Xuanhui, Yuan, Jiangyuan, Jiang, Weiwei, Nie, Meng, Fan, Yibing, Chen, Yupeng, Feng, Jiancheng, Dong, Shiying, Gao, Chuang, Huang, Jinhao, Jiang, Rongcai
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Frontiers Media S.A. 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9354981/
https://www.ncbi.nlm.nih.gov/pubmed/35937065
http://dx.doi.org/10.3389/fneur.2022.900145
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author Xiang, Tangtang
Zhang, Xinjie
Wei, Yingsheng
Feng, Dongyi
Gong, Zhitao
Liu, Xuanhui
Yuan, Jiangyuan
Jiang, Weiwei
Nie, Meng
Fan, Yibing
Chen, Yupeng
Feng, Jiancheng
Dong, Shiying
Gao, Chuang
Huang, Jinhao
Jiang, Rongcai
author_facet Xiang, Tangtang
Zhang, Xinjie
Wei, Yingsheng
Feng, Dongyi
Gong, Zhitao
Liu, Xuanhui
Yuan, Jiangyuan
Jiang, Weiwei
Nie, Meng
Fan, Yibing
Chen, Yupeng
Feng, Jiancheng
Dong, Shiying
Gao, Chuang
Huang, Jinhao
Jiang, Rongcai
author_sort Xiang, Tangtang
collection PubMed
description Subdural hematoma (SDH) is one of the most lethal types of traumatic brain injury. SDH caused by Intracranial Pressure Reduction (ICPR) is rare, and the mechanism remains unclear. Here, we report three cases of SDH that occurred after substandard cupping therapy and are conjected to be associated with ICPR. All of them had undergone cupping treatments. On the last cupping procedure, they experienced a severe headache after the cup placed on the occipital-neck junction (ONJ) was suddenly removed and were diagnosed with SDH the next day. In standard cupping therapy, the cups are not usually placed on the ONJ. We speculate that removing these cups on the soft tissue over the cisterna magna repeatedly created localized negative pressure, caused temporary but repeated ICPR, and eventually led to SDH development. The Monro-Kellie Doctrine can explain the mechanism behind this - it states that the intracranial pressure is regulated by a fixed system, with any change in one component causing a compensatory change in the other. The repeated ICPR promoted brain displacement, tearing of the bridging veins, and development of SDH. The literature was reviewed to illustrate the common etiologies and therapies of secondary ICPR-associated SDH. Despite the popularity of cupping therapy, its side effects are rarely mentioned. This case is reported to remind professional technicians to fully assess a patient's condition before cupping therapy and ensure that the cups are not placed at the ONJ.
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spelling pubmed-93549812022-08-06 Possible mechanism and Atorvastatin-based treatment in cupping therapy-related subdural hematoma: A case report and literature review Xiang, Tangtang Zhang, Xinjie Wei, Yingsheng Feng, Dongyi Gong, Zhitao Liu, Xuanhui Yuan, Jiangyuan Jiang, Weiwei Nie, Meng Fan, Yibing Chen, Yupeng Feng, Jiancheng Dong, Shiying Gao, Chuang Huang, Jinhao Jiang, Rongcai Front Neurol Neurology Subdural hematoma (SDH) is one of the most lethal types of traumatic brain injury. SDH caused by Intracranial Pressure Reduction (ICPR) is rare, and the mechanism remains unclear. Here, we report three cases of SDH that occurred after substandard cupping therapy and are conjected to be associated with ICPR. All of them had undergone cupping treatments. On the last cupping procedure, they experienced a severe headache after the cup placed on the occipital-neck junction (ONJ) was suddenly removed and were diagnosed with SDH the next day. In standard cupping therapy, the cups are not usually placed on the ONJ. We speculate that removing these cups on the soft tissue over the cisterna magna repeatedly created localized negative pressure, caused temporary but repeated ICPR, and eventually led to SDH development. The Monro-Kellie Doctrine can explain the mechanism behind this - it states that the intracranial pressure is regulated by a fixed system, with any change in one component causing a compensatory change in the other. The repeated ICPR promoted brain displacement, tearing of the bridging veins, and development of SDH. The literature was reviewed to illustrate the common etiologies and therapies of secondary ICPR-associated SDH. Despite the popularity of cupping therapy, its side effects are rarely mentioned. This case is reported to remind professional technicians to fully assess a patient's condition before cupping therapy and ensure that the cups are not placed at the ONJ. Frontiers Media S.A. 2022-07-22 /pmc/articles/PMC9354981/ /pubmed/35937065 http://dx.doi.org/10.3389/fneur.2022.900145 Text en Copyright © 2022 Xiang, Zhang, Wei, Feng, Gong, Liu, Yuan, Jiang, Nie, Fan, Chen, Feng, Dong, Gao, Huang and Jiang. https://creativecommons.org/licenses/by/4.0/This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.
spellingShingle Neurology
Xiang, Tangtang
Zhang, Xinjie
Wei, Yingsheng
Feng, Dongyi
Gong, Zhitao
Liu, Xuanhui
Yuan, Jiangyuan
Jiang, Weiwei
Nie, Meng
Fan, Yibing
Chen, Yupeng
Feng, Jiancheng
Dong, Shiying
Gao, Chuang
Huang, Jinhao
Jiang, Rongcai
Possible mechanism and Atorvastatin-based treatment in cupping therapy-related subdural hematoma: A case report and literature review
title Possible mechanism and Atorvastatin-based treatment in cupping therapy-related subdural hematoma: A case report and literature review
title_full Possible mechanism and Atorvastatin-based treatment in cupping therapy-related subdural hematoma: A case report and literature review
title_fullStr Possible mechanism and Atorvastatin-based treatment in cupping therapy-related subdural hematoma: A case report and literature review
title_full_unstemmed Possible mechanism and Atorvastatin-based treatment in cupping therapy-related subdural hematoma: A case report and literature review
title_short Possible mechanism and Atorvastatin-based treatment in cupping therapy-related subdural hematoma: A case report and literature review
title_sort possible mechanism and atorvastatin-based treatment in cupping therapy-related subdural hematoma: a case report and literature review
topic Neurology
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9354981/
https://www.ncbi.nlm.nih.gov/pubmed/35937065
http://dx.doi.org/10.3389/fneur.2022.900145
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