Schievink Wouter I, Maya M M, Moser Franklin, Tourje James, Torbati Sam
Department of Neurosurgery, The Maxine Dunitz Neurosurgical Institute, Cedars-Sinai Medical Center, 8631 West Third Street, Suite 800E, Los Angeles, CA 90048, USA.
J Headache Pain. 2007 Dec;8(6):325-8. doi: 10.1007/s10194-007-0421-8. Epub 2007 Dec 10.
Spontaneous intracranial hypotension is considered a rare disorder. We conducted a study on the frequency of spontaneous intracranial hypotension in the emergency department (ED). We identified patients with spontaneous intracranial hypotension evaluated in the ED of a large urban hospital between 1 January 2003 and 31 December 2006. For comparison, we also identified all patients with spontaneous subarachnoid haemorrhage (SAH). Eleven patients with previously undiagnosed spontaneous intracranial hypotension were evaluated in the ED during the four-year time period. All patients presented with positional headaches and the duration of symptoms varied from one day to three months. None of the patients were correctly diagnosed with spontaneous intracranial hypotension in the ED. During the same time period, 23 patients with aneurysmal SAH were evaluated. Spontaneous intracranial hypotension is more common than previously appreciated and the diagnosis in the ED remains problematic.
自发性颅内低压被认为是一种罕见的疾病。我们对急诊科（ED）中自发性颅内低压的发生率进行了一项研究。我们确定了2003年1月1日至2006年12月31日期间在一家大型城市医院急诊科接受评估的自发性颅内低压患者。为了进行比较，我们还确定了所有自发性蛛网膜下腔出血（SAH）患者。在这四年期间，有11例先前未被诊断出的自发性颅内低压患者在急诊科接受了评估。所有患者均表现为体位性头痛，症状持续时间从一天到三个月不等。在急诊科，没有一例患者被正确诊断为自发性颅内低压。在同一时期，对23例动脉瘤性SAH患者进行了评估。自发性颅内低压比之前认为的更为常见，在急诊科的诊断仍然存在问题。
