腰椎穿刺后头痛。病因与处理
Post-lumbar puncture headache. Etiology and management.
作者信息
Raymond J R, Raymond P A
出版信息
West J Med. 1988 May;148(5):551-4.
Abstract
Headache following a lumbar puncture is a common and often debilitating syndrome. Continued leakage of cerebrospinal fluid from a puncture site decreases intracranial pressure, which leads to traction on pain-sensitive intracranial structures. The headache is characteristically postural, often associated with nausea and optic, vestibular, or otic symptoms. Although usually self-limited after a few days, severe postural pain can incapacitate the patient. Management is mainly symptomatic, but definitive treatment with the epidural blood patching technique is safe and effective when done by an expert operator.
摘要
腰椎穿刺后头痛是一种常见且常使人衰弱的综合征。脑脊液从穿刺部位持续漏出会降低颅内压，从而导致对疼痛敏感的颅内结构受到牵拉。头痛的特点是与体位有关，常伴有恶心以及视觉、前庭或耳部症状。虽然通常在几天后会自行缓解，但严重的体位性疼痛会使患者丧失活动能力。治疗主要是对症治疗，但由专业操作人员进行硬膜外血贴技术的确定性治疗是安全有效的。
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Post-lumbar puncture headache.腰椎穿刺后头痛
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