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如何治疗腰椎穿刺后反复发生的硬膜下血肿?

How to Treat Repeated Subdural Hematomas after Lumbar Puncture?

作者信息

Zekaj Edvin, Saleh Christian, Minichiello Marina, Perazzo Paolo, Servello Domenico

机构信息

Department of Neurosurgery and Neurology, IRCCS Galeazzi Hospital, 20161 Milan, Italy.

出版信息

Asian J Neurosurg. 2019 Jan-Mar;14(1):249-252. doi: 10.4103/ajns.AJNS_263_17.

Abstract

Serious complications following spinal anesthesia (SA) are rare. However, surgeons and neurologist need to be aware that postsurgery headache refractory to conservative treatment or change in headache's characteristics could be due to serious intracranial complications such as a subdural hematoma. Any delay in diagnosis and treatment can be fatal. We report and discuss a case of a patient who suffered repeated subdural bleeds following SA.

摘要

脊髓麻醉(SA)后出现严重并发症的情况较为罕见。然而,外科医生和神经科医生需要意识到,保守治疗无效或头痛特征改变的术后头痛可能是由硬膜下血肿等严重颅内并发症引起的。诊断和治疗的任何延迟都可能是致命的。我们报告并讨论了一例脊髓麻醉后反复发生硬膜下出血的患者病例。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bbb8/6417290/7897b613c230/AJNS-14-249-g001.jpg

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