Department of Neurological Surgery, University of Miami Miller School of Medicine, Miami, Florida 33136, USA.
J Neurosurg. 2011 Feb;114(2):505-9. doi: 10.3171/2010.8.JNS10412. Epub 2010 Oct 8.
Spontaneous spinal CSF leakage with the development of intracranial hypotension is a well-described entity. Cerebrospinal fluid leaks, mostly from the thoracic spine, are the major cause of spontaneous intracranial hypotension (SIH). Conservative treatment options include hydration, oral caffeine, and epidural blood patching. Alternatively, open surgical correction of meningeal diverticula is a therapeutic option. The authors describe 4 cases of spontaneous spinal CSF leakage producing symptoms of intracranial hypotension. All patients had multiple spinal diverticula with an identified leaking level. The patients were treated using a minimally invasive approach via surgical correction of the meningeal diverticulum.
自发性脊柱脑脊液漏伴发颅内低血压是一种明确的病症。脑脊液漏，主要来自于胸椎，是自发性颅内低血压（SIH）的主要原因。保守治疗方法包括补液、口服咖啡因和硬膜外血贴。或者，脑膜憩室的开放性手术矫正也是一种治疗选择。作者描述了 4 例自发性脊柱 CSF 漏导致颅内低血压症状的病例。所有患者均有多发性脊柱憩室，并确定了漏诊水平。这些患者通过手术矫正脑膜憩室，采用微创方法进行治疗。
