Berroir Stéphane, Grabli David, Héran Françoise, Bakouche Pierre, Bousser Marie-Germaine
Department of Neurology, Lariboisière Hospital, Fondation Ophtalmologique Adolphe-de-Rothschild, Paris, France.
Cerebrovasc Dis. 2004;17(1):9-12. doi: 10.1159/000073892. Epub 2003 Oct 3.
We report 2 patients who had clinical and neuroimaging signs of spontaneous intracranial hypotension and who developed cerebral sinus venous thrombosis. This sequence of events -- known after dural puncture but not in spontaneous intracranial hypotension -- was suggested by the change in the pattern of headache, from a postural to a permanent and increasing one. The diagnostic and therapeutic difficulties that this complication raises are discussed.
我们报告了2例具有自发性颅内低压的临床和神经影像学表现且发生了脑静脉窦血栓形成的患者。这种事件顺序——在硬膜穿刺后已知，但在自发性颅内低压中未知——是由头痛模式的改变所提示的，即从体位性头痛转变为持续性且逐渐加重的头痛。本文讨论了这种并发症所带来的诊断和治疗难题。
