CT-Guided Epidural Contrast Injection for the Identification of Dural Defects.

Ian T Mark, Michael P Oien, John C Benson, Jared T Verdoorn, Ben Johnson-Tesch, D K Kim, Jeremy Cutsforth-Gregory, Ajay A Madhavan
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引用次数: 0

Abstract

Post-dural puncture headache (PDPH) is an increasingly recognized cause of chronic headache. Outside of clinical history and myelography that requires an additional dural puncture, there is no reliable diagnostic test to evaluate for persistent dural defects. We describe the injection of iodinated contrast into the dorsal epidural space under CT guidance in five patients as a potential tool to visualize persistent dural defects.ABBREVIATIONS: PDPH = post-dural puncture headache; SIH = spontaneous intracranial hypotension; DSM = digital subtraction myelography; CTM = CT myelography.

在 CT 引导下注射硬膜外造影剂以确定硬膜缺陷。
硬脊膜穿刺后头痛(PDPH)是越来越多的慢性头痛的病因。除了临床病史和需要额外硬膜穿刺的脊髓造影术外,目前还没有可靠的诊断测试来评估是否存在持续性硬膜缺损。我们介绍了在 CT 引导下向五名患者的背侧硬膜外腔注射碘造影剂的情况,这是观察持续性硬膜缺损的一种潜在工具:PDPH = 硬膜穿刺后头痛;SIH = 自发性颅内低血压;DSM = 数字减影髓鞘造影术;CTM = CT 髓鞘造影术。
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