The Self-Pith

AJNR Am J Neuroradiol, 2007 · DOI: · Published: April 1, 2007

Alternative Medicine Neurology Research Methodology & Design

Simple Explanation

A middle-aged woman presented to the emergency department after inserting a sewing needle into her spinal cord while attempting self-acupuncture for chronic neck pain. The patient, lacking formal acupuncture training, used home hand-sewing needles. Imaging confirmed the needle pierced her spinal cord. The needle was removed surgically, and the patient recovered with minimal neurological deficit. Post-operative imaging revealed minor cord edema and hemorrhage.

Study Duration

Not specified

Participants

One middle-aged woman

Evidence Level

Level 4: Case Report

Key Findings

1
Imaging revealed a sewing needle piercing the spinal cord in the midline posteriorly.
2
Postoperative MRI showed relatively minor cord edema and a small amount of cord hemorrhage.
3
The patient experienced a slight decrease in left-arm power (4/5) and altered sensation over the left C5–C8 dermatomes.

Research Summary

This case report describes a unique instance of spinal cord injury resulting from self-administered acupuncture using a sewing needle. The patient presented with neurological deficits that improved after surgical removal of the needle, highlighting the potential risks associated with untrained self-acupuncture. The case underscores the importance of formal training and awareness of potential complications in acupuncture practice, contrasting it with the relative safety typically observed with trained practitioners.

Practical Implications

Patient Education

Emphasize the risks of self-administered acupuncture and the importance of seeking treatment from trained professionals.

Professional Training

Reinforce the need for comprehensive training and knowledge of anatomy to minimize the risk of complications during acupuncture.

Risk Awareness

Highlight potential dangers to both medical and non-medical therapists.

Study Limitations

1
Single case report limits generalizability.
2
Lack of long-term follow-up data.
3
Patient's honesty and recall about the incident.

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