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患者,男,49岁。因头痛、呕吐5天,立位时加重,平卧后头痛缓解,侧卧位腰穿无脑脊液流出,测脑压0.29kPa,脑脊液常规和生化正常,诊断为原发性低颅压,住院治疗。给予鞘内注入灭菌生理盐水55ml后脑压上升至1.37kPa,每日静滴生理盐水1500～2000ml,住院15天症状消失。出院74天后,无诱因而再发头痛,恶心呕吐,头痛与体位无关。查体仅见左侧肢体腱反射活跃,左上肢Hoffmann(+),颈稍抵抗,眼底及其它神经系统检查均无异常。侧卧位腰穿测脑压0.49kPa,脑脊液常规及生化正常,头颅x线摄片(一),头颅A超无中线波移位。给予鞘内注入灭菌生理盐水及静脉补
Patient, male, 49 years old. Due to headache, vomiting for 5 days, standing position increased, headache relief after supine, lateral discectomy cerebrospinal fluid flow out, measured intracranial pressure 0.29kPa, cerebrospinal fluid routine and biochemical normal, diagnosed as primary low intracranial pressure, hospitalization. Intrathecal injection of sterile saline 55ml increased to 1.37kPa, daily intravenous infusion of saline 1500 ~ 2000ml, 15 days hospitalized symptoms disappeared. After discharge for 74 days, there was no incentive to recurrent headache, nausea and vomiting, headache and body position has nothing to do. Examination showed only left limb tendon reflexes, left upper extremity Hoffmann (+), slightly neck resistance, fundus and other neurological examination were normal. Lateral lumbar puncture measured intracranial pressure 0.49kPa, cerebrospinal fluid routine and biochemical normal, skull x-ray (a), head A ultrasound without central wave shift. Intrathecal injection of sterile saline and intravenous fill