摘要
目的探讨临床疑似静脉窦血栓、蛛网膜下腔出血(SAH)的自发性低颅压综合征(SIH)的临床、脑脊液(CSF)及影像学特征鉴别要点。方法回顾性分析15例SIH患者的临床资料。结果所有患者均有体位性头痛,并可伴随不同的症状;CSF压力<70 mm H_2O,白细胞计数增多3例,红细胞计数增多5例,蛋白升高3例,15例患者均行头颅MRI及增强,10例脑膜强化,2例硬膜下血肿,1例硬膜下积液,2例垂体肿大;给予补液及对症支持治疗,效果良好。结论了解SIH临床、脑脊液及影像学特点对于鉴别SIH与SAH、静脉窦血栓形成至关重要,直立性头痛、腰穿压力、病程、头颅MRI加强扫描等是鉴别三者的有效方法。
Objective To investigate different diagnosis feature from spontaneous intracranial hypotension patients who clinically mimic subarachnoid hemorrhage（SAH） and cerebral venous sinus thrombosis（CVST）. Methods 15 patients with headache related to the syndrome of SIH were investigated. Resluts All the patients were characteristic of postural headache. They also have meningeal irritation signs. Most of their cerebrospinal fluid（CSF） had blood cell and protein increased. All of the 10 cases with gadolinium enhancement scan had positive results. Conlusion It is important to recognize the representation of SIH syndrome, especially changing in the features of cerebrospinal fluid, MRI gadolinium enhancement scanning is much help to make different diagnosis from SAH and CVST.
作者
张洪妹
ZHANG Hong-mei(No.2 Department of lnternal Medicine, Xi＇an 141 Hospital, Xi＇An 710089, China)
出处
《中国医药指南》
2017年第10期103-104,共2页
Guide of China Medicine
关键词
自发性低颅压综合征
脑脊液
磁共振成像
Spontaneous intracranial hypotension
Cerebrospinal fluid
Magnetic resonance imaging
