本文選題：低顱壓綜合征　切入點：頭痛　出處：《臨床放射學(xué)雜志》2017年10期

【摘要】：目的探討低顱壓綜合征的臨床及MRI表現(xiàn),為臨床診斷及治療提供依據(jù)。方法回顧性分析華中科技大學(xué)同濟(jì)醫(yī)學(xué)院附屬同濟(jì)醫(yī)院2014年至2016年收治的13例低顱壓綜合征患者臨床表現(xiàn)及影像學(xué)特點。結(jié)果所有患者均表現(xiàn)為體位性頭痛,腦脊液壓力≤60 mm H_2O。頭顱CT發(fā)現(xiàn)硬膜下積液3例,腦腫脹1例。頭顱MRI平掃及增強(qiáng)發(fā)現(xiàn)硬腦膜增厚強(qiáng)化9例,硬膜下積液4例,顱內(nèi)靜脈竇增寬3例,垂體飽滿和小腦扁桃體下移各1例。脊髓蛛網(wǎng)膜下腔成像發(fā)現(xiàn)有腦脊液漏1例。結(jié)論低顱壓綜合征典型的臨床癥狀為體位性頭痛,并且通常為首發(fā)癥狀。多數(shù)患者預(yù)后良好。頭顱增強(qiáng)MRI可顯示彌漫性硬腦膜強(qiáng)化等典型的低顱壓改變,脊髓蛛網(wǎng)膜下腔成像在部分患者中可發(fā)現(xiàn)脊髓硬脊膜瘺而明確病因;動態(tài)復(fù)查頭部MRI有助于判斷疾病轉(zhuǎn)歸。
[Abstract]:Objective to investigate the clinical and MRI manifestations of intracranial hypotension syndrome. Methods the clinical manifestations and imaging features of 13 patients with hypobaric syndrome treated in Tongji Hospital affiliated to Tongji Medical College of Huazhong University of Science and Technology from 2014 to 2016 were retrospectively analyzed. All patients presented with postural headache. Cerebrospinal fluid pressure 鈮，

本文編號：1693573