靶向硬膜外血贴治疗难治性自发性颅内低压：一例报告
Targeted Epidural Blood Patch Treatment for Refractory Spontaneous Intracranial Hypotension: A Case Report.
作者信息
Liu Nan, Fei Yue, He Fei-Fang
机构信息
Department of Anesthesiology, Hangzhou Xiasha Hospital, Zhejiang, People's Republic of China.
Department of Anesthesiology, Sir Run Run Shaw Hospital, School of Medicine, Zhejiang University, Zhejiang, People's Republic of China.
出版信息
J Neurol Surg Rep. 2021 Dec 1;82(4):e49-e52. doi: 10.1055/s-0041-1740153. eCollection 2021 Oct.
Spontaneous intracranial hypotension (SIH) is recognized far more commonly than before, and it is well known that SIH is sometimes complicated by chronic subdural hematoma (SDH). We reported a patient who was treated with epidural blood patch (EBP) five times for refractory SIH and SDH surgery. We experienced that targeted EBP was useful in refractory SIH, and also can be performed safely prior to drainage of the hematoma. We report the case of SIH patient with a bilateral SDH who came to our hospital and was discharged 2 weeks later with no neurologic deficit after trephination and five times EBP treatment. It shows that targeted EBP was useful in refractory SIH, and also can be performed safely prior to drainage of the hematoma.
自发性颅内低压（SIH）的诊断比以往更为常见，并且众所周知，SIH有时会并发慢性硬膜下血肿（SDH）。我们报告了一名因难治性SIH和SDH手术接受了5次硬膜外血贴（EBP）治疗的患者。 我们体会到，针对性EBP对难治性SIH有用，并且在血肿引流之前也可以安全地进行。 我们报告了一名患有双侧SDH的SIH患者，该患者前来我院就诊，在开颅和5次EBP治疗后2周出院，无神经功能缺损。这表明针对性EBP对难治性SIH有用，并且在血肿引流之前也可以安全地进行。
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