儿童脑脊液初压参考范围：历史概述与当前数据
Reference range of cerebrospinal fluid opening pressure in children: historical overview and current data.
作者信息
Avery Robert A
机构信息
Department of Neurology, Children's National Medical Center, Washington, District of Columbia, United States.
出版信息
Neuropediatrics. 2014 Aug;45(4):206-11. doi: 10.1055/s-0034-1376202. Epub 2014 May 27.
Abstract
The lumbar puncture and cerebrospinal fluid (CSF) opening pressure (OP) in children remains an essential diagnostic test for children with suspected elevated intracranial pressure. Recent prospective data have revised the normative CSF OP values and described how clinical variables such as age, depth of sedation, and obesity may influence the measurements. In addition, the new normative data are now reflected in revised diagnostic criteria for idiopathic intracranial hypertension/pseudotumor cerebri syndrome. This review highlights the recently published data and provides guidance on how it may impact clinical management.
摘要
腰椎穿刺及脑脊液（CSF）初压对怀疑颅内压升高的儿童来说仍是一项重要的诊断检查。近期的前瞻性数据修正了脑脊液初压的正常参考值，并描述了年龄、镇静深度及肥胖等临床变量如何影响测量结果。此外，新的正常参考数据现已反映在特发性颅内高压/假性脑瘤综合征的修订诊断标准中。本综述重点介绍了最近发表的数据，并就其可能如何影响临床管理提供指导。
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