摘要
目的探讨自发性低颅压综合征(SIH)的临床特点、脑脊液(CSF)和影像学的改变及预后。方法观察2004—2008年收治的19例SIH患者的临床表现、CSF和中枢神经系统影像学的特征及预后。结果18例患者初诊时有体位性头痛,其中1例患者随病情发展体位性头痛减轻,另1例患者就诊时体位性头痛不明显。患者可有不同的伴随症状,18例患者CSF压力<60mmH2O,细胞和蛋白轻中度增高,患者均行颅脑CT检查,14例正常,2例硬膜下积液,3例硬膜下血肿,其中2例血肿较大且病情进行性加重,行颅脑MRI检查的6例患者中5例显示弥漫性硬脑膜增厚等。结论SIH的临床特点、CSF改变和MRI表现具有一定的特征性。SIH并非都是良性预后,少数患者可能会并发硬膜下较大的血肿,导致病情进行性加重,需要急诊行脑外科手术治疗。
Objective To investigate the clinical,neuroimaging(NI) and Cerebrospinal fluid(CSF) features of spontaneous intracranial hypotension syndrome(SIH) and its prognosis.Methods Nineteen SIH patients(from 2004 to 2008) were enrolled.We observed the clinical manifestations,the features of CSF and NI,and its prognosis.Results Eighteen patients suffered orthostatic headache in preliminary diagnoses;the symptom became illegible with disease progression in 1 of them,another one had illegible orthostatic headache on v...
出处
《中国全科医学》
CAS
CSCD
北大核心
2009年第10期892-893,共2页
Chinese General Practice
关键词
颅内低压
体层摄影术
螺旋计算机
磁共振成像
Intracranial hypotension
Tomography
spiral computed
Magnetic resonance imaging
