自发性低颅压合并颅内静脉窦血栓、脊柱硬膜外血肿一例
Chinese Journal of Neurology(2020)
Abstract
自发性低颅压可出现颅内静脉窦血栓、颅内硬膜下血肿等并发症。脊柱硬膜外血肿在自发性低颅压患者中较少报道。报告1例确诊自发性低颅压的患者,以直立位头痛起病,并发颅内静脉窦血栓,出现癫痫发作、癫痫持续状态、脑实质出血。检查发现合并腰段脊柱硬膜外血肿,无明显脊髓压迫症状。经卧床、补液、抗凝、抗癫痫治疗后,患者头痛、颅内静脉窦血栓情况好转。出院3周后患者再次出现头痛,平卧时无法完全缓解,头颅影像提示新发双侧颅内硬膜下血肿。停用抗凝治疗,经2次硬膜外血贴治疗后,患者颅内硬膜下血肿吸收,头痛无再发。
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Key words
Spontaneous intracranial hypotension,Cerebral venous thrombosis,Hematoma, epidural, spinal,Epidural blood patch
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