Khodzhaeva A A
Lik Sprava. 2005 Jul-Sep(5-6):40-2.
Morphological and histochemical investigations on dura mater spinalis of the lumbar site in 5 women of reproductive age dead from accidents and 5 women dead during deliveries due to hemorrhage were carried out. It was found that one of the etiological factors of head-aches after subarachnoid anesthesia was functional reduction of mechanic and supporting function of dura mater spinalis along with elasticity loss of fibrous tissue, edema and friability. The stable non-healing postpuncture defect of dura mater spinalis resulted in liquorrhea with subsequent development of the "liquorrhea hypotension" syndrome.
对5名因意外事故死亡的育龄女性和5名因分娩时出血死亡的女性的腰椎硬脊膜进行了形态学和组织化学研究。结果发现,蛛网膜下腔麻醉后头痛的病因之一是硬脊膜的机械和支撑功能减退,同时伴有纤维组织弹性丧失、水肿和变脆。硬脊膜穿刺后持续不愈合的缺损导致脑脊液漏,随后发展为“脑脊液漏性低血压”综合征。