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以头痛为表现的脑脊液漏:一例报告

Cerebrospinal Fluid Leak Presenting as Headache: A Case Report.

作者信息

Colantonio Mark, Dionne Christopher

机构信息

Internal Medicine, West Virginia University School of Medicine, Morgantown, USA.

出版信息

Cureus. 2024 Jul 16;16(7):e64683. doi: 10.7759/cureus.64683. eCollection 2024 Jul.

DOI:10.7759/cureus.64683
PMID:39015218
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11251748/
Abstract

Headache is a common chief complaint among patients. When presented with this chief complaint, clinicians often form a differential diagnosis of common etiologies, including dehydration, increased stressors, and medication side effects. However, a skillful clinician must always be vigilant of rare etiologies presenting with common chief complaints. Here, we present a rare case of a cerebrospinal fluid leak in a young female presenting with primary symptoms of headache, neck stiffness, and vision changes.

摘要

头痛是患者常见的主要诉求。当面对这一主要诉求时,临床医生通常会对常见病因进行鉴别诊断,包括脱水、压力源增加和药物副作用。然而,经验丰富的临床医生必须始终警惕以常见主要诉求出现的罕见病因。在此,我们报告一例年轻女性脑脊液漏的罕见病例,其主要症状为头痛、颈部僵硬和视力变化。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28f1/11251748/0e45df00de6d/cureus-0016-00000064683-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28f1/11251748/d5b9c71cdc6f/cureus-0016-00000064683-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28f1/11251748/0e45df00de6d/cureus-0016-00000064683-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28f1/11251748/d5b9c71cdc6f/cureus-0016-00000064683-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/28f1/11251748/0e45df00de6d/cureus-0016-00000064683-i02.jpg

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本文引用的文献

1
Spontaneous Spinal CSF Leaks Stratified by Age, Body Mass Index, and Spinal Level.自发性脊柱脑脊液漏的年龄、体重指数和脊柱水平分层。
AJNR Am J Neuroradiol. 2022 Jul;43(7):1068-1072. doi: 10.3174/ajnr.A7548. Epub 2022 Jun 23.
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Imaging of Acquired Skull Base Cerebrospinal Fluid Leaks.后天性颅底脑脊液漏的影像学评估
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Spontaneous cerebrospinal fluid leak and idiopathic intracranial hypertension.自发性脑脊液漏和特发性颅内高压。
Curr Opin Ophthalmol. 2019 Nov;30(6):467-471. doi: 10.1097/ICU.0000000000000603.
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Diagnosis and management of spontaneous cerebrospinal fluid fistula and encephaloceles.自发性脑脊液瘘和脑膨出的诊断与管理
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Detection of Cerebrospinal Fluid Leaks: Is There a Radiologic Standard of Care? A Systematic Review.脑脊液漏的检测:是否存在放射学标准护理?系统评价。
World Neurosurg. 2019 Jul;127:307-315. doi: 10.1016/j.wneu.2019.01.299. Epub 2019 Feb 22.
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Spontaneous skull base meningoencephaloceles and cerebrospinal fluid fistulas.自发性颅底脑膜脑膨出和脑脊液瘘。
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