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低颅压综合征的临床特点与MRI表现 被引量:10

The clinical characters and MRI findings of intracranial hypotensionsyndrome
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摘要 目的:分析14例低颅压综合征的临床特点及其MRI表现。方法:回顾性分析14例低颅压综合征患者的临床及MRI资料。结果:所有患者均有特征性体位性头痛;特征性MRI表现为7(7/8)例显示硬脑膜增厚,8(8/8)例显示窦汇扩张(后下缘后凸呈弧形),7(7/8)例显示双侧硬脑膜弥漫性对称性均匀性强化,10(10/14)例MRM示脊膜憩室、囊肿、脑脊液漏。结论:低颅压综合征的临床特点多样,体位性头痛是其特征性症状;头颅MRI增强扫描具有特征性表现,MRM可较为明确的显示脑脊液漏的部位;MRI检查在低颅压综合征的诊断中具有较大应用价值。 Objective:To investigate the clinical characteristics and MRI findings of intracranial hypotension syndrome.Methods:The clinical and MRI data in 14 cases of intracranial hypotension syndrome were analyzed retrospectively.Results:All the 14 cases appeared orthostatic headache.7(7/8) cases appeared cerebral dura mater uniform,diffuse and symmetrical thickening,8(8/8) cases appeared confluence of sinuses dilated(aft-inferior edge protruded astern),7(7/8) cases manifested bilateral cerebral dura mater uniform,diffuse and symmetrical enhancement,10(10/14) cases MRM appeared spinal meninges diverticulum,cyst and leakage of cerebrospinal fluid.Conclusion:Intracranial hypotension syndrome typically presents with orthostatic headache,which is often associated with additional symptoms;enhanced MRI has markable appearances.MRM can display the location of the leakage of cerebrospinal fluid obviously.MRI has a significant diagnostic value on intracranial hypotension syndrome.
出处 《医学影像学杂志》 2010年第2期149-152,共4页 Journal of Medical Imaging
关键词 低颅压综合征 临床特点 腰椎穿刺 磁共振成像 Intracranial hypotension syndrome Clinical characters Lumbar puncture Magnetic resonance imaging Evaluation studies
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