CT引导下硬膜外血贴治疗一名3岁儿童脊髓拴系松解术后脑脊液漏和假性脑脊膜膨出
CT-guided epidural blood patch for treatment of CSF leak and pseudomeningocele following tethered cord release in a 3-year-old.
作者信息
Cornman-Homonoff Joshua, Schweitzer Andrew, Chazen J Levi
机构信息
Department of Radiology, NewYork-Presbyterian Hospital, Weill Cornell Medical Center, 525 East 68th Street, Box 141, New York, NY 10065, USA.
Division of Neuroradiology, NewYork-Presbyterian Hospital, Weill Cornell Medical Center, 525 East 68th Street, Box 141, New York, NY 10065, USA.
出版信息
Clin Imaging. 2016 Nov-Dec;40(6):1191-1194. doi: 10.1016/j.clinimag.2016.08.010. Epub 2016 Aug 16.
An epidural blood patch (EBP) has become standard of care for management of postdural puncture headache, and in recent years, attempts have been made to expand its applicability. Its utility in the management of postsurgical pseudomeningocele remains poorly defined, and few reports describe its use in children. In this case, we report the successful management of lumbar pseudomeningocele via EBP in a 3-year-old after tethered cord release, thereby obviating the need for surgical repair and its potential morbidity.
硬膜外血贴（EBP）已成为治疗硬膜穿刺后头痛的标准方法，近年来，人们一直在尝试扩大其应用范围。其在术后假性脑脊膜膨出治疗中的作用仍不明确，很少有报告描述其在儿童中的应用。在此病例中，我们报告了1例3岁患儿在脊髓拴系松解术后通过硬膜外血贴成功治疗腰部假性脑脊膜膨出，从而避免了手术修复及其潜在的并发症。
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