Kamm Katharina, Förderreuther Stefanie
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.
Nervenarzt. 2021 Jun;92(6):611-621. doi: 10.1007/s00115-021-01147-4.
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.
腰穿后头痛属于继发性头痛疾病组,是有意或无意腰穿的典型并发症。主要症状是体位性头痛,根据脑脊液漏出的程度,可能伴有复视等神经症状。这种头痛的病程大多为良性,数天内可自行缓解,不过文献中也有严重病例的描述。以下文章概述了关于该头痛的病理生理学、诊断检查及治疗的现有知识。