与阻塞性睡眠呼吸暂停鼻腔持续气道正压通气治疗相关的脑脊液漏
Cerebrospinal fluid leak associated with nasal continuous positive airway pressure treatment for obstructive sleep apnoea.
作者信息
Yared Jean, El Annan Jaafar
机构信息
Department of Internal Medicine, Greater Baltimore Medical Center, Towson, Maryland, USA.
出版信息
BMJ Case Rep. 2010 Sep 7;2010:bcr0120102659. doi: 10.1136/bcr.01.2010.2659.
Abstract
Clear rhinorrhoea is a common symptom in patients with obstructive sleep apnoea (OSA), which may worsen with nasal continuous positive airway pressure treatment (nCPAP). However, rhinorrhoea can also be the presenting symptom of cerebrospinal fluid (CSF) leak, which is due to a communication between the subarachnoid space and the nasal cavity or sinuses. We report another case of a patient with OSA in whom CSF leak developed following the initiation of nCPAP treatment.
摘要
清涕是阻塞性睡眠呼吸暂停（OSA）患者的常见症状，在接受鼻持续气道正压通气治疗（nCPAP）时可能会加重。然而，流涕也可能是脑脊液（CSF）漏的首发症状，这是由于蛛网膜下腔与鼻腔或鼻窦之间存在交通所致。我们报告了另一例OSA患者，在开始nCPAP治疗后发生了脑脊液漏。
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本文引用的文献
1
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Chest. 2005 Sep;128(3):1882-4. doi: 10.1378/chest.128.3.1882.
2
Headaches, shunts, and obstructive sleep apnea: report of two cases.头痛、分流术与阻塞性睡眠呼吸暂停：两例报告
Neurosurgery. 2004 Mar;54(3):764-8; discussion 768-9. doi: 10.1227/01.neu.0000109539.32277.17.
3
Cerebrospinal fluid rhinorrhea: pathophysiological aspects and treatment.
Neurol Res. 2003 Oct;25(7):708-12. doi: 10.1179/016164103101202200.
4
Primary spontaneous cerebrospinal fluid rhinorrhea and obesity.原发性自发性脑脊液鼻漏与肥胖
Am J Rhinol. 2001 Mar-Apr;15(2):117-9. doi: 10.2500/105065801781543736.
5
Nasopharyngeal symptoms in patients with obstructive sleep apnea syndrome. Effect of nasal CPAP treatment.
Respiration. 1999;66(2):128-35. doi: 10.1159/000029354.
6
Orthostatic headaches caused by CSF leak but with normal CSF pressures.由脑脊液漏引起但脑脊液压力正常的体位性头痛。
Neurology. 1998 Sep;51(3):786-90. doi: 10.1212/wnl.51.3.786.
7
Bacterial meningitis--a possible complication of nasal continuous positive airway pressure therapy in a patient with obstructive sleep apnea syndrome and a mucocele.细菌性脑膜炎——阻塞性睡眠呼吸暂停综合征合并黏液囊肿患者经鼻持续气道正压通气治疗的一种可能并发症。
Sleep. 1993 Jan;16(1):31-2. doi: 10.1093/sleep/16.1.31.
8
Transmission of intrathoracic pressure to the intracranial space during cardiopulmonary resuscitation in dogs.犬心肺复苏期间胸内压力向颅内空间的传递。
Circ Res. 1985 Jan;56(1):20-30. doi: 10.1161/01.res.56.1.20.
9
Pneumocephalus associated with nasal continuous positive airway pressure in a patient with sleep apnea syndrome.睡眠呼吸暂停综合征患者中与经鼻持续气道正压通气相关的气颅
Chest. 1989 Dec;96(6):1425-6. doi: 10.1378/chest.96.6.1425.
10
Massive epistaxis from nasal CPAP therapy.鼻持续气道正压通气治疗引起的大量鼻出血。
Chest. 1989 May;95(5):1141. doi: 10.1378/chest.95.5.1141.
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