Labadie E L, van Antwerp J, Bamford C R
Neurology. 1976 Feb;26(2):135-9. doi: 10.1212/wnl.26.2.135.
The unusual case of spontaneous hypoliquorrheic headache reported here was clinically identical to that originally described by Schaltenbrand. This is the first case to be studied by radioisotope cisternography, which showed that the cerebrospinal fluid flow was essentially normal. However, the radioactivity counts percent decreased rapidly, with simultaneous appearance of high isotope concentration in the urinary bladder. Scan images did not show cerebrospinal fluid (CSF) leakage at the puncture sites. Our data suggest that this postural headache syndrome is not caused by decreased CSF production, but by a very rapid absorption or unusual CSF leakage.
本文报道的自发性脑脊液过少性头痛这一罕见病例在临床上与Schaltenbrand最初描述的病例相同。这是首例通过放射性核素脑池造影术进行研究的病例，结果显示脑脊液流动基本正常。然而，放射性计数百分比迅速下降，同时膀胱中出现高同位素浓度。扫描图像未显示穿刺部位有脑脊液漏出。我们的数据表明，这种体位性头痛综合征不是由脑脊液生成减少引起的，而是由脑脊液吸收过快或异常脑脊液漏出所致。
