腰椎穿刺后脊髓积气：一例报告
Pneumorrhachis following lumbar puncture: a case report.
作者信息
Lin Lung-Chang, Liao Yu-Mei, Yang Rei-Cheng
机构信息
Department of Pediatrics, Kaohsiung Municipal Hsiao Kang Hospital, Taiwan.
出版信息
Kaohsiung J Med Sci. 2006 Jan;22(1):39-43. doi: 10.1016/S1607-551X(09)70219-0.
Abstract
We report a rare case of pneumorrhachis following lumbar puncture. A 4-year-old boy was admitted to our hospital with seizures following a head injury and upper respiratory infection. Lumbar puncture was performed to rule out central nervous system infection. In response to leg pain and weakness a few hours after the procedure, lumbar spine computed tomography (CT) revealed pneumorrhachis at the level of L5-S1. In a follow-up CT scan 3 days later, the pneumorrhachis resolved spontaneously. Pneumorrhachis following diagnostic lumbar puncture is an extremely rare condition. We discuss pneumorrhachis and review cases in the literature.
摘要
我们报告了一例腰椎穿刺后发生脊髓积气的罕见病例。一名4岁男孩因头部受伤和上呼吸道感染后出现癫痫发作入住我院。进行腰椎穿刺以排除中枢神经系统感染。在穿刺后数小时，患儿出现腿痛和无力，腰椎计算机断层扫描（CT）显示L5-S1水平存在脊髓积气。3天后的随访CT扫描显示，脊髓积气已自行消退。诊断性腰椎穿刺后发生脊髓积气是一种极其罕见的情况。我们对脊髓积气进行了讨论并复习了文献中的病例。
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