硬膜穿刺后头痛的晚期复发
Late recurrence of postdural puncture headache.
作者信息
Sidebotham D, Willoughby E, Schug S A
机构信息
Department of Anaesthesia, Auckland Hospital, New Zealand.
出版信息
Reg Anesth. 1997 Jul-Aug;22(4):382-4.
BACKGROUND AND OBJECTIVES
Postdural puncture headache can recur following an epidural blood patch but usually does so within the first week. However, a late recurrence was encountered in a 31-year-old woman with probable lupus vasculitis.
METHODS
The patient underwent a diagnostic lumbar puncture and suffered a postdural puncture headache. She was treated with an epidural blood patch and had complete resolution of her headache. Five weeks later, she suffered a sudden recurrence of an identical headache and underwent a repeat epidural blood patch.
RESULTS
The second headache, like the first, was immediately and completely resolved.
CONCLUSIONS
A review of risk factors for postdural puncture headache and the role of an epidural blood patch suggests a possible explanation for the late recurrence in this case.
背景与目的
硬膜外血贴后硬膜穿刺后头痛可能复发，但通常在第一周内复发。然而，一名31岁可能患有狼疮性血管炎的女性出现了迟发性复发。
方法
该患者接受了诊断性腰椎穿刺并发生了硬膜穿刺后头痛。她接受了硬膜外血贴治疗，头痛完全缓解。五周后，她突然再次出现相同的头痛，并接受了重复硬膜外血贴治疗。
结果
第二次头痛与第一次一样，立即完全缓解。
结论
对硬膜穿刺后头痛的危险因素及硬膜外血贴的作用进行回顾，为该病例的迟发性复发提供了一种可能的解释。
Zotero 插件