自发性低颅压继发硬膜下积液1例报告

Spontaneous Intracranial Hypotension Syndrome with Bilateral Subdural Hematomas: One Case Report

自发性低颅压综合症(SIH)是指颅内压低于60 mm H2O并出现以体位性头痛为典型症状的一组临床综合征。目前临床上主要采取以补液为主的保守治疗;但由于低颅压性综合征在临床上发病率低,加之其临床表现症状不具特异性,及医生对该病认识不熟给临床疾病的诊断带来一定的难度,临床误诊率较高。因此本文报道一篇自发性低颅压继发硬膜下积液一例,望同行学习经验教训,该报道的病例已获得患者知情同意。

Spontaneous low intracranial pressure syndrome (SIH) refers to a group of clinical syndromes with intracranial pressure below 60 mm H2O and typical symptoms of orthostatic headache. At pre-sent, conservative treatment mainly based on fluid replacement is adopted. However, due to the low clinical incidence of low intracranial pressure syndrome, coupled with its clinical manifestations and symptoms are not specific, and doctors do not recognize the disease and diagnose clinical diseases. It brings some difficulties, and the clinical misdiagnosis rate is high. Therefore, this article reports a case of spontaneous low intracranial pressure secondary to subdural effusion.