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产后脊髓硬膜下血肿:无关的硬膜外血补丁:一例报告

Postpartum spinal subdural hematoma: irrelevant epidural blood patch: a case report.

作者信息

Choe Won Joo, Kim Ji Yeon, Yeo Hyeok Jae, Kim Jun Hyun, Lee Sang-Il, Kim Kyung-Tae, Park Jang Su, Kim Jung Won

机构信息

Department of Anesthesiology and Pain Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.

出版信息

Korean J Anesthesiol. 2016 Apr;69(2):189-92. doi: 10.4097/kjae.2016.69.2.189. Epub 2016 Mar 30.

Abstract

We report a healthy patient with postpartum headache and neck stiffness which were diagnosed as symptoms of pseudoaneurysm of vertebral artery. She had received a Cesarean section under the spinal anesthesia, and complaint of headache and neck stiffness. Epidural blood patches were done twice, but symptoms persisted. Eight days later, she experienced sensory disturbance and emergent laminectomy was done. When persistent postpartum headache occurs after epidural blood patch, more precise differential diagnosis should be made and considering other possible pathologies.

摘要

我们报告了一名健康患者,其产后出现头痛和颈部僵硬症状,被诊断为椎动脉假性动脉瘤的症状。她在脊髓麻醉下接受了剖宫产手术,术后出现头痛和颈部僵硬。硬膜外血贴治疗进行了两次,但症状持续存在。八天后,她出现感觉障碍,随后进行了急诊椎板切除术。当硬膜外血贴后出现持续性产后头痛时,应进行更精确的鉴别诊断,并考虑其他可能的病理情况。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ec50/4823418/95cc8579a729/kjae-69-189-g001.jpg

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