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小儿特发性颅内高压患者腰椎穿刺后发生广泛脑脊液漏。

Case of extensive cerebrospinal fluid leak postlumbar puncture in a paediatric patient with idiopathic intracranial hypertension.

机构信息

Paediatric Medicine, KK Women's and Children's Hospital, Singapore

Paediatric Medicine, KK Women's and Children's Hospital, Singapore.

出版信息

BMJ Case Rep. 2022 Apr 29;15(4):e246131. doi: 10.1136/bcr-2021-246131.

Abstract

Lumbar punctures are frequently used in the diagnostic evaluation of central nervous system diseases such as infections, administration of medications such as chemotherapy and for reduction in intracranial pressure in cases of idiopathic intracranial hypertension. Cerebrospinal fluid (CSF) leak through a dural tear can result in temporary side effects such as headache (postlumbar puncture headache) and backache. Rarely, more severe side effects may occur with neurological deficits if there is an extensive CSF collection or epidural haematoma. However, the majority of these lesions can be managed conservatively.

摘要

腰椎穿刺常用于中枢神经系统疾病的诊断评估,例如感染、化疗药物的给药以及特发性颅内高压的颅内压降低。硬脑膜撕裂导致脑脊液(CSF)漏出可导致暂时性副作用,如头痛(腰椎穿刺后头痛)和背痛。如果有大量脑脊液积聚或硬脑膜外血肿,可能会出现更严重的神经功能缺损等罕见的严重副作用。然而,这些病变大多数可以保守治疗。

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本文引用的文献

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Cerebrospinal Fluid Rhinorrhea Secondary to Idiopathic Intracranial Hypertension.特发性颅内高压继发脑脊液鼻漏
Case Rep Neurol. 2019 Nov 14;11(3):295-298. doi: 10.1159/000503813. eCollection 2019 Sep-Dec.
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Epidural cerebrospinal fluid collection after lumbar puncture.腰椎穿刺后硬膜外脑脊液采集
Pediatr Emerg Care. 2009 Jul;25(7):467-8. doi: 10.1097/PEC.0b013e3181ab8325.
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Headache and backache after lumbar puncture in children and adolescents: a prospective study.
Pediatrics. 2004 Jun;113(6):1588-92. doi: 10.1542/peds.113.6.1588.

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