Albayram Sait, Ulu Mustafa Onur, Hanimoglu Hakan, Kaynar Mehmet Yasar, Hanci Murat
Department of Radiology, Division of Neuroradiology, Cerrahpasa Medical Faculty, Istanbul University, Istanbul, Turkey.
Eur Spine J. 2008 Sep;17 Suppl 2(Suppl 2):S347-50. doi: 10.1007/s00586-008-0681-2. Epub 2008 Apr 25.
The authors report on a 14 years old female with intracranial hypotension who had a history of spinal instrumentation surgery for scoliosis 3 months prior to her admission. She had been diagnosed with migraine in a neurology clinic and was under medical therapy when presented. During the investigation process, a right thoracic pedicle screw, which was penetrating and transversing the dura mater at the T3-T4 level was identified. The diagnosis and management of such a case is discussed. Knowledge of this entity is of extreme importance to spine surgeons, in order to prevent delayed diagnosis and possible complications.
作者报告了一名14岁患有颅内低压的女性患者,她在入院前3个月有脊柱侧弯脊柱内固定手术史。她曾在神经科诊所被诊断为偏头痛,就诊时正在接受药物治疗。在检查过程中,发现一枚右胸段椎弓根螺钉在T3 - T4水平穿透并横过硬脑膜。本文讨论了该病例的诊断和处理。了解这一情况对脊柱外科医生极为重要,以防止延迟诊断和可能出现的并发症。