成年患者腰椎穿刺后硬膜外脑脊液采集：一例病例报告及文献综述
Epidural cerebrospinal fluid collection following lumbar puncture in an adult patient: A case report and literature review.
作者信息
Cavaleri Jonathon, Perez Jennifer L, Ozpinar Alp, Alan Nima, Monaco Edward
机构信息
Department of Neurological Surgery, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, USA.
University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, USA.
出版信息
Surg Neurol Int. 2018 Aug 22;9:169. doi: 10.4103/sni.sni_476_17. eCollection 2018.
BACKGROUND
Cerebrospinal fluid (CSF) leakage into the epidural space following lumbar puncture (LP) has been documented in pediatric patients, but there have been no reported cases in adults.
CASE DESCRIPTION
We report an epidural CSF leak in an adult who presented with back pain, positional headache, urinary retention, and constipation following an LP performed as a part of a research study. The patient's magnetic resonance (MR) scan showed an extensive epidural CSF collection. Following placement in a recumbent position for 72 h, the collection fully resolved along with his neurological complaints.
CONCLUSION
Symptomatic epidural CSF collections rarely occur in adults following LPs. Nevertheless, the management remains the same as for pediatric patients; bed rest for 72 h results typically in full resolution of symptoms/signs and regression of the collection on MR studies.
背景
小儿患者腰椎穿刺（LP）后脑脊液（CSF）漏入硬膜外腔已被记录，但成人中尚无报道病例。
病例描述
我们报告一例成人硬膜外脑脊液漏，该患者在作为一项研究的一部分进行腰椎穿刺后出现背痛、体位性头痛、尿潴留和便秘。患者的磁共振（MR）扫描显示广泛的硬膜外脑脊液聚集。在仰卧位放置72小时后，聚集物完全消散，其神经症状也随之消失。
结论
成人腰椎穿刺后很少发生有症状的硬膜外脑脊液聚集。尽管如此，处理方法与小儿患者相同；卧床休息72小时通常会使症状/体征完全消失，且磁共振检查显示聚集物消退。
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