Schievink Wouter I, Maya M Marcel, Louy Charles
Maxine Dunitz Neurosurgical Institute, Cedars-Sinai Medical Center, Los Angeles, CA 90048, USA.
Neurology. 2005 Apr 12;64(7):1282-4. doi: 10.1212/01.WNL.0000156906.84165.C0.
The outcome of spontaneous intracranial hypotension has been unpredictable. The results of initial MRI were correlated to outcome of treatment in 33 patients with spontaneous intracranial hypotension. A good outcome was obtained in 25 (97%) of 26 patients with an abnormal MRI vs only 1 (14%) of 7 patients with a normal MRI (p = 0.00004). These findings show that normal initial MRI is predictive of poor outcome in spontaneous intracranial hypotension.
自发性颅内低压的预后一直难以预测。对33例自发性颅内低压患者的初始MRI结果与治疗结果进行了相关性分析。26例MRI异常的患者中有25例(97%)获得了良好的治疗效果,而7例MRI正常的患者中只有1例(14%)获得了良好的治疗效果(p = 0.00004)。这些发现表明,初始MRI正常预示着自发性颅内低压的预后较差。