1089 例连续记忆门诊患者中腰椎穿刺后头痛发生率低。
Low incidence of post-lumbar puncture headache in 1,089 consecutive memory clinic patients.
机构信息
Institute of Neuroscience and Physiology, Department of Psychiatry and Neurochemistry, The Sahlgrenska Academy at the University of Gothenburg, Mölndal, Sweden.
出版信息
Eur Neurol. 2010;63(6):326-30. doi: 10.1159/000311703. Epub 2010 Jun 3.
AIM
To examine the incidence of post-lumbar puncture headache (PLPH) in patients admitted for cognitive disturbances.
METHODS
The incidence of PLPH and other general (subdural hematoma, meningitis, encephalitis) or local (local pain, spinal hematoma, local infection) complications was evaluated in 1,089 consecutive patients (aged 23-89 years) who underwent lumbar puncture as a part of the routine diagnostic evaluation between February 2001 and March 2007 at a specialized memory clinic.
RESULTS
28 (2.6%) of the patients reported PLPH of mild severity. No other local or general complications occurred.
CONCLUSIONS
The incidence of PLPH in patients with cognitive disturbances is low and CSF analyses can thus be part of the diagnostic work-up at memory clinics.
目的
观察因认知障碍住院的患者发生腰椎穿刺后头痛（PLPH）的发生率。
方法
2001 年 2 月至 2007 年 3 月，在一家专门的记忆诊所，对 1089 例连续患者（年龄 23-89 岁）进行腰椎穿刺，作为常规诊断评估的一部分，评估 PLPH 及其他一般（硬膜下血肿、脑膜炎、脑炎）或局部（局部疼痛、脊髓血肿、局部感染）并发症的发生率。
结果
28 例（2.6%）患者出现轻度 PLPH。无其他局部或全身并发症。
结论
认知障碍患者的 PLPH 发生率较低，因此 CSF 分析可作为记忆诊所诊断工作的一部分。
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