以精神衰退为表现的自发性颅内低压

Spontaneous intracranial hypotension presenting as mental deterioration.

作者信息

Tsai Ping-Huang, Wang Shuu-Jiun, Lirng Jiing-Feng, Fuh Jong-Ling

机构信息

Neurological Institute, Taipei Veterans General Hospital, Taipei, Taiwan.

出版信息

Headache. 2005 Jan;45(1):76-80. doi: 10.1111/j.1526-4610.2005.t01-1-05013.x.

DOI:10.1111/j.1526-4610.2005.t01-1-05013.x

PMID:15663618

Abstract

A 55-year-old woman had new onset of postural headache followed by change of mental status 3 weeks later. Magnetic resonance imaging (MRI) of the brain and whole spine showed typical spontaneous intracranial hypotension (SIH) findings, bilateral subdural hematoma, and cerebrospinal fluid leakage over the T7-T9. Her headache and mentality improved after epidural blood patches. Early recognition and correct diagnosis are crucial for successful treatment in patients with SIH presenting with mental confusion.

摘要

一名55岁女性出现体位性头痛，3周后出现精神状态改变。脑部和全脊柱磁共振成像（MRI）显示典型的自发性颅内低压（SIH）表现、双侧硬膜下血肿以及T7 - T9水平的脑脊液漏。硬膜外血贴治疗后，她的头痛和精神状态有所改善。对于出现精神错乱的SIH患者，早期识别和正确诊断对成功治疗至关重要。