影像引导下硬膜外血贴补与纤维蛋白胶黏堵治疗脑脊液漏和静脉瘘

Image-guided Epidural Blood Patching and Fibrin Glue Occlusion of Cerebrospinal Fluid Leaks and Venous Fistulas.

机构信息

Department of Radiology, The Permanente Medical Group, Kaiser Permanente Medical Center, Santa Clara, 700 Lawrence Expy, Santa Clara, CA 95051, USA; Department of Radiology and Biomedical Imaging, University of California, San Francisco, 505 Parnassus Avenue, San Francisco, CA 94143, USA.

出版信息

Neuroimaging Clin N Am. 2025 Feb;35(1):143-154. doi: 10.1016/j.nic.2024.08.006. Epub 2024 Sep 5.

DOI:10.1016/j.nic.2024.08.006

PMID:39521522

Abstract

There have been major advances in the diagnosis and treatment of spontaneous intracranial hypotension (SIH). While once thought to be a rare condition, the occurrence is not uncommon if diagnosed adequately. Our greater understanding of SIH is based on three main points: (1) awareness of the various types of spontaneous spinal cerebrospinal fluid (CSF) leaks; (2) advanced myelography with the precision to detect dural tears and CSF-venous fistulas; and (3) updated treatment techniques of epidural patching, embolization, and surgery. This review discusses the various types of epidural patching for CSF leaks.

摘要

自发性颅内低血压（SIH）的诊断和治疗已经取得了重大进展。虽然曾经被认为是一种罕见的疾病，但如果得到充分诊断，其发生率并不罕见。我们对 SIH 的认识主要基于以下三点：（1）对各种类型的自发性脊髓脑脊液（CSF）漏的认识；（2）高级脊髓造影术，具有检测硬脑膜撕裂和 CSF-静脉瘘的精确性；（3）硬膜外贴补、栓塞和手术的更新治疗技术。本文综述了各种类型的硬膜外贴补治疗 CSF 漏。