患者出现步态冻结，脊髓脑脊液引流后发生急性硬脑膜下血肿。
Acute subdural hematoma following spinal cerebrospinal fluid drainage in a patient with freezing of gait.
机构信息
Department of Neurology and Movement Disorder Center, CRC, Seoul National University Hospital, Seoul, Korea.
出版信息
J Clin Neurol. 2009 Jun;5(2):95-6. doi: 10.3988/jcn.2009.5.2.95. Epub 2009 Jun 30.
BACKGROUND
Headache is a common complication of lumbar puncture (LP). Although in most cases post-LP headaches are not severe and have a benign course, they can also be a manifestation of a potentially life-threatening complication such as subdural hematoma (SDH).
CASE REPORT
We describe a patient in whom a massive SDH developed after LP and cerebrospinal fluid (CSF) drainage, which were performed during the diagnostic evaluation of freezing of gait.
CONCLUSIONS
SDH should not be excluded from the differential diagnosis of headache following LP, especially when there is a loss of CSF.
背景
头痛是腰椎穿刺（LP）的常见并发症。虽然在大多数情况下，LP 后头痛并不严重且呈良性过程，但也可能是潜在危及生命的并发症的表现，如硬膜下血肿（SDH）。
病例报告
我们描述了一例患者，在步态冻结的诊断评估过程中，在 LP 和脑脊液（CSF）引流后发生了大量 SDH。
结论
LP 后头痛时，尤其是出现 CSF 丢失时，不应排除 SDH 的鉴别诊断。
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