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[自发性神经根脑脊液漏与颅内低压:病例报告]

[Spontaneous nerve root cerebrospinal fluid leaks and intracranial hypotension: case report].

作者信息

Falavigna Asdrubal, Ferraz Fernando Antonio Patriani, Boscato Giovana, Shimokawa Marcos

机构信息

Disciplina de Neurologia, Fundação Universidade de Caxias do Sul, Caxias do Sul, RS, Brasil.

出版信息

Arq Neuropsiquiatr. 2003 Mar;61(1):134-6. doi: 10.1590/s0004-282x2003000100028. Epub 2003 Apr 16.

DOI:10.1590/s0004-282x2003000100028
PMID:12715038
Abstract

Spontaneous intracranial hypotension is a rare syndrome, characterized by pressure in the cerebrospinal fluid ranging between 50 and 70 mmH2O and postural headache. Its diagnosis is made through the clinical presentation, measurement of the cerebrospinal fluid pressure and neurorimage features. The clinical recognition of this pathology has been increasing and the differential diagnosis must be made with inflammatory meningeal processes and tumor. We report a case of spontaneous nerve root cerebrospinal fluid leaks in a 34 year-old man and intracranial hypotension. A literature review was performed evaluating the clinical, diagnostic and therapeutic aspects of this unusual pathology.

摘要

自发性颅内低压是一种罕见综合征,其特征为脑脊液压力在50至70 mmH₂O之间且伴有体位性头痛。其诊断通过临床表现、脑脊液压力测量及神经影像学特征来做出。这种病症的临床认知一直在增加,且必须与炎症性脑膜病变和肿瘤进行鉴别诊断。我们报告一例34岁男性自发性神经根脑脊液漏及颅内低压的病例。进行了文献综述,评估这种不寻常病症的临床、诊断及治疗方面。

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