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CT引导下硬膜外造影剂注射用于识别硬膜缺损

CT-Guided Epidural Contrast Injection for the Identification of Dural Defects.

作者信息

Mark Ian T, Oien Michael, Benson John C, Verdoorn Jared, Johnson-Tesch Ben, Kim D K, Cutsforth-Gregory Jeremy, Madhavan Ajay A

机构信息

From the Department of Radiology (I.T.M., M.O., J.B., J.V., B.J.-T., D.K.K., A.A.M), Mayo Clinic, Rochester, Minnesota

From the Department of Radiology (I.T.M., M.O., J.B., J.V., B.J.-T., D.K.K., A.A.M), Mayo Clinic, Rochester, Minnesota.

出版信息

AJNR Am J Neuroradiol. 2025 Jan 8;46(1):207-210. doi: 10.3174/ajnr.A8437.

DOI:10.3174/ajnr.A8437
PMID:39134368
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11735425/
Abstract

Post-dural puncture headache is an increasingly recognized cause of chronic headache. Outside of clinical history and myelography that requires an additional dural puncture, there is no reliable diagnostic test to evaluate for persistent dural defects. We describe the injection of iodinated contrast into the dorsal epidural space under CT guidance in 5 patients as a potential tool to visualize persistent dural defects.

摘要

硬膜穿刺后头痛是一种日益被认识到的慢性头痛病因。除了临床病史和需要额外进行硬膜穿刺的脊髓造影外,没有可靠的诊断测试来评估持续性硬膜缺损。我们描述了在CT引导下向5例患者的背侧硬膜外间隙注射碘化造影剂,作为一种可视化持续性硬膜缺损的潜在工具。

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CT-Guided Epidural Contrast Injection for the Identification of Dural Defects.CT引导下硬膜外造影剂注射用于识别硬膜缺损
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本文引用的文献

1
Intrathecal hematoma following epidural blood patch: An alternative mechanism to intrathecal puncture.硬膜外血补丁后鞘内血肿:鞘内穿刺的另一种机制。
Neuroradiol J. 2025 Feb;38(1):121-123. doi: 10.1177/19714009241242587. Epub 2024 Mar 23.
2
Beyond myths: Transformative insights into spinal cerebrospinal fluid leaks and their role in persistent headache syndromes.超越神话:对脊柱脑脊液漏及其在持续性头痛综合征中的作用的变革性见解。
Headache. 2024 Mar;64(3):229-232. doi: 10.1111/head.14677. Epub 2024 Feb 22.
3
Direct pseudomeningocele contrast injection for spinal CSF leak localization.
直接假性脑膜囊对比注射定位脊髓脑脊液漏。
Neuroradiol J. 2024 Dec;37(6):761-763. doi: 10.1177/19714009231224413. Epub 2023 Dec 26.
4
Distinct Pattern of Membrane Formation With Spinal Cerebrospinal Fluid Leaks in Spontaneous Intracranial Hypotension.自发性颅内低血压伴脊髓脑脊液压漏的膜形成独特模式。
Oper Neurosurg (Hagerstown). 2024 Jan 1;26(1):71-77. doi: 10.1227/ons.0000000000000914. Epub 2023 Sep 25.
5
A causative role for remote dural puncture and resultant arachnoid bleb in new daily persistent headache: A case report.远隔部位硬脑膜穿刺及由此导致的蛛网膜憩室在新发持续性每日头痛中的致病作用:病例报告。
Headache. 2023 Jul-Aug;63(7):981-983. doi: 10.1111/head.14584. Epub 2023 Jun 26.
6
Incremental diagnostic yield and clinical outcomes of lateral decubitus CT myelogram immediately following negative lateral decubitus digital subtraction myelogram.侧卧位 CT 脊髓造影即刻行侧卧位数字减影脊髓造影阴性后的诊断增量和临床结果。
Neuroradiol J. 2023 Oct;36(5):593-600. doi: 10.1177/19714009231173110. Epub 2023 Apr 27.
7
Management and outcomes of persistent headache after accidental dural puncture in the obstetric population: A 9-year prospective audit.产科人群意外硬膜穿破后持续性头痛的管理与结局:一项为期9年的前瞻性审计。
Headache. 2023 Jan;63(1):71-78. doi: 10.1111/head.14447. Epub 2023 Jan 18.
8
Natural history of spontaneous intracranial hypotension: a clinical and imaging study.自发性颅内低压的自然史:一项临床与影像学研究。
J Neurointerv Surg. 2023 Nov;15(11):1124-1128. doi: 10.1136/jnis-2022-019300. Epub 2022 Nov 10.
9
Rates of Epidural Blood Patch following Lumbar Puncture Comparing Atraumatic versus Bevel-Tip Needles Stratified for Body Mass Index.比较 BMI 分层的非创伤性与斜面针尖腰椎穿刺后硬膜外血补丁的发生率。
AJNR Am J Neuroradiol. 2022 Feb;43(2):315-318. doi: 10.3174/ajnr.A7397. Epub 2022 Jan 13.
10
Did she have an epidural? The long-term consequences of postdural puncture headache and the role of unintended dural puncture.她有没有做硬膜外麻醉?硬脊膜穿刺后头痛的长期后果和意外硬脊膜穿刺的作用。
Headache. 2021 Oct;61(9):1314-1323. doi: 10.1111/head.14221. Epub 2021 Sep 27.