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医源性颅内低压并发硬脑膜静脉窦血栓形成和脑叶出血:一例报告

Iatrogenic intracranial hypotension complicated to dural venous sinus thrombosis and lobar hemorrhage: A case report.

作者信息

Hamidi Hidayatullah, Haqyar Mohammad Iqbal

机构信息

Head of Radiology Department, French Medical Institute for Mothers and Children (FMIC), Kabul, Afghanistan.

Resident at Radiology Department, French Medical Institute for Mothers and Children (FMIC), Kabul, Afghanistan.

出版信息

Radiol Case Rep. 2024 Dec 14;20(3):1338-1341. doi: 10.1016/j.radcr.2024.11.035. eCollection 2025 Mar.

Abstract

Iatrogenic intracranial hypotension is a known complication of spinal anesthesia that can lead to more severe conditions, such as dural or cerebral venous sinus thrombosis (CVST). This report presents a case of intracranial hypotension in a young woman after lumbar anesthesia for a cesarean section that was complicated by CVST and subsequently by lobar hemorrhage, clinically presenting with severe headache and seizures. The diagnosis was made via cerebral magnetic resonance (MR) imaging, and the patient was treated medically. This case study aimed to assist clinicians in considering the possible complications of intracranial hypotension when evaluating patients with a recent history of spinal procedures, leading to early diagnosis and treatment to prevent devastating consequences.

摘要

医源性颅内低压是脊髓麻醉已知的一种并发症,可导致更严重的情况,如硬脑膜或脑静脉窦血栓形成(CVST)。本报告介绍了一名年轻女性在剖宫产腰麻后发生颅内低压的病例,该病例并发CVST,随后出现脑叶出血,临床表现为严重头痛和癫痫发作。通过脑磁共振(MR)成像做出诊断,并对患者进行了药物治疗。本病例研究旨在帮助临床医生在评估近期有脊柱手术史的患者时考虑颅内低压可能的并发症,从而实现早期诊断和治疗,以防止出现灾难性后果。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/a6c3/11699272/ac1865bfd77e/gr1.jpg

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