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病例报告:脑脊液瘘——脊髓造影的一种罕见并发症。

Case report: cerebrospinal fluid fistula--a rare complication of myelography.

作者信息

Morparia H K, Vontivillu J

机构信息

Department of Radiodiagnosis, King Edward Memorial Hospital, Parel, Bombay, India.

出版信息

Clin Radiol. 1991 Sep;44(3):205. doi: 10.1016/s0009-9260(05)80875-x.

Abstract

A case of a cerebrospinal fluid fistula developing following a lumbar puncture done for myelography is described. Radiographic documentation was obtained by a sinogram using an oily contrast medium. The exact aetiology of the fistula was undetermined, however, the large calibre of the spinal needle used for lumbar puncture as well as the patient's decubitus ulcer in the early post-myelography state may have had a role to play. The presence of a low grade infection also remains a possibility as the needle used was of an autoclaved, reusable type.

摘要

本文描述了一例因脊髓造影进行腰椎穿刺后发生脑脊液瘘的病例。通过使用油性造影剂的窦道造影获得了影像学记录。然而,瘘管的确切病因尚不确定,不过,用于腰椎穿刺的脊髓针口径较大以及脊髓造影术后早期患者的褥疮可能起到了一定作用。由于使用的针是经过高压灭菌的可重复使用类型,低度感染的存在也仍然是一种可能性。

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