如何找到并克服疼痛的原因--颅内压过低治疗方法概述

Izabela Hądzlik, Jan Piotrowski, Julia Biały-Karbowniczek, Katarzyna Słychan, Klaudia Bulska, Patrycja Brzozowska, Andrzej Piela, Bianka Nowińska, Blanka Łuczak, Konrad Sławek
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引用次数: 0

摘要

颅内低血压综合征是由于脑膜先天性或自发性中断导致脑脊液(CSF,脑脊液)漏出而引起的。无论是自发性(SIH,自发性颅内低血压)还是先天性,颅内低血压综合征的主要临床表现都是慢性正压型头痛,可能伴有神经功能缺损症状。尽管硬膜下血肿通常是良性的,但在 SIH 或脑静脉窦血栓形成后出现的硬膜下血肿会导致患者病情恶化,甚至危及生命。脑部和椎管的影像学检查(主要是磁共振成像)对 SIH 的诊断起着重要作用,有时还辅以 CSF 压力测试。如果保守治疗无效,应考虑手术治疗和硬膜外血液补片。SIH 很危险,因此了解如何诊断和治疗很重要。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
How to find and overcome reason of the pain - an overview of the possible approaches in intracranial hypotension treatment
Intracranial hypotension syndrome develops following cerebrospinal fluid (CSF, cerebrospinal fluid) leakage as a result of iatrogenic or spontaneous interruption of the meninges. The main clinical manifestation of intracranial hypotension, whether spontaneous (SIH, spontaneous intracranial hypotension) or iatrogenic, is a chronic headache of the orthostatic type, which may be accompanied by symptoms of neurological deficits. Despite the usually benign course, subdural haematomas developing following SIH or cerebral venous sinus thrombosis can cause deterioration of the patient's condition and may even be life-threatening. An important role in the diagnosis of SIH is played by imaging studies (mainly magnetic resonance imaging) of the brain and spinal canal, sometimes supplemented by CSF pressure testing. If conservative treatment fails, consideration should be given to surgical management and epidural blood patch. SIH is dangerous, so it is important to know how to diagnose and treat it.
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