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[硬膜穿刺后头痛]

[Post-dural puncture headache].

作者信息

Kamm Katharina, Förderreuther Stefanie

机构信息

Neurologische Klinik und Poliklinik, Klinikum der LMU München, Standort Großhadern, Marchioninistr. 15, 81377, München, Deutschland.

Neurologische Klinik und Poliklinik, Neurologischer Konsiliardienst am Standort Innenstadt, Klinikum der Ludwig-Maximilians-Universität München, Ziemssenstr. 1, 80336, München, Deutschland.

出版信息

Schmerz. 2021 Apr;35(2):139-149. doi: 10.1007/s00482-021-00540-x. Epub 2021 Mar 16.

Abstract

Post-dural puncture headache belongs to the group of secondary headache disorders and is a typical complication of intended or unintended dural puncture. The main symptom is orthostatic headache, which can be accompanied by neurological symptoms such as diplopia depending on the extent of the cerebrospinal fluid leak. The course of this headache is predominantly benign, showing spontaneous improvement over a couple of days, although severe cases are described in the literature. The following article provides an overview of the current knowledge about the headache's pathophysiology, diagnostic work-up and therapy.

摘要

腰穿后头痛属于继发性头痛疾病范畴,是有意或无意腰穿的典型并发症。主要症状是直立性头痛,根据脑脊液漏的程度,可能伴有复视等神经症状。这种头痛的病程大多是良性的,在几天内会自发改善,不过文献中也描述了严重的病例。以下文章概述了目前关于该头痛的病理生理学、诊断检查和治疗的知识。

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