摘要
Abstract
Objective To explore the clinical characteristics in spontaneous intracranial hypotension syndrome in or-der to avoid misdiagnosis and mistreatment. Methods We retrospectively analyzed 12 cases of SIH in outpatient and emer-gency departments in Xijing Hospital from July 2011 to July 2014. Results All the 12 patients of SIH suffered severe head-ache postural, with dizziness, nausea, vomiting, pain, tinnitus, hearing loss, without any history of trauma and surgery. 6 cases were misdiagnosed in other hospital;misdiagnosis cases were 2 cases of tonsillar herniation, 1 case of occipital neural-gia, 1 case of subdural hematoma, 1 case of viral encephalitis, 1 case of meningoencephalitis, and misdiagnosis rate was 50%upon admission. Combined with clinical manifestations, cerebrospinal fluid test ( CSF pressure<60 mmH2 O, cell count was higher in 4 cases, the protein of 5 cases increased) and MRI examination ( MRI showed that 7 cases were normal, 4 cases had subdural fluid collection, 2 cases had diffuse pachy meningeal gadolinium enhancement, 3 cases had brain sagging) all the 12 patients were then diagnosed with spontaneous intracranial hypotension syndrome. 11 cases were successfully treated with con-servative therapy, 1 case had surgical repair and his condition was alleviated, and the follow-up showed good prognosis. Con-clusion Middle-aged women with orthostatic headache should be suspected with spontaneous intracranial hypotension syn-drome. Clinicians should have a detailed and better understanding of history, make carefully examinations, timely lumbar puncture for cerebrospinal fluid examination combined with imaging examination, and make early diagnosis and treatment in order to avoid misdiagnosis and mistreatment.关键词
自发低颅压综合征/误诊/脑炎,病毒性/脑膜脑炎Key words
Spontaneous intracranial hypotension syndrome/Misdiagnosed/Encephalitis, viral/Meningoencephalitis分类
医药卫生
