Mokri Bahram, Ahlskog J Eric, Luetmer Patrick H
Department of Neurology, E8A, Mayo Clinic College of Medicine, 200 First Street S.W., Rochester, MN 55905, USA.
Neurology. 2006 Oct 24;67(8):1490-1. doi: 10.1212/01.wnl.0000240059.96502.bf.
A 59-year-old man presented with orthostatic headaches, memory complaints, pronounced choreiform movements, and related hyperkinetic dysarthria and titubations. Head MRI findings were suggestive of CSF leak. CSF pressure was low. CT myelography documented CSF leak at the cervicothoracic junction. Targeted epidural blood patch led to resolution of symptoms, including complete disappearance of choreiform movements.
一名59岁男性出现体位性头痛、记忆问题、明显的舞蹈样动作以及相关的运动过多性构音障碍和蹒跚步态。头部MRI检查结果提示脑脊液漏。脑脊液压力较低。CT脊髓造影显示颈胸交界处存在脑脊液漏。针对性的硬膜外血贴疗法使症状得到缓解,包括舞蹈样动作完全消失。