原发性低颅压头痛15例临床分析.pdf

中国临床神经科学 2011年第 19卷第1期 4 2 Chin J Clin Neurosci 2011,9 (11) ,42~45 论 著 原发性低颅压头痛15例临床分析 沈 沸，李焰生 (上海交通大学医学院附属仁济医院神经内科200127) 关键词 原发性低颅压；头痛；继发性头痛 摘要 目的：探讨原发性低颅压性头痛的临床特点。方法：回顾性分析15 例原发性低颅压性头痛的临床资料。结果： 15 例患者中，急性发病12 例，慢性发病3 例；女性9 例，发病年龄28～56 岁。93.33% 患者有体位性头痛，恶心和呕吐 是主要伴随症状。腰穿脑脊液平均压力(4 1.2 ±30.85)mmH O ，女性患者明显低于男性患者(P0.05) 。影像学检查和脑 2 池显影均未见明显异常。全部患者均保守治疗后症状明显好转。结论：典型体位性头痛，腰穿脑脊液压力60 mmH O 2 为原发性低颅压性头痛的主要特点，预后良好。 Clinical Analysis of 15 Cases with Spontaneous Intracranial Hypotension Headache SHEN Fei, LI Yan- Sheng Department of Neurology, Renj i Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200127, China KEY WORDS spontaneous intracranial hypotension; headache; secondary headache ABSTRACT Aim: To explore the clinical features of spontaneous intracranial hypotension(SIH) headache. Methods: Clinical data of 15 cases of SIH headache were retrospectively analyzed. Results: 12 of 15 cases were acute onset, 9 were female. The ages of onset were from 28 to 56 years. 93.33% cases had postural headache, with the common concomitant symptoms of nausea and vomit. The average cerebrospinal fluid pressure was (4 1.2 ±30.85)mmH O, which was higher in male than in female (P0.05). Radionuclide 2 cisternography and imaging were normal. All cases were cured after conservative treatment. Conclusion: Typical postural headache and cerebrospinal fluid pressure less than 60 mmH O were the main features in SIH 2 heada