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原发性颅内低压症是指无明显诱因引起的颅内低压,主要表现为随体位变化的头痛,坐、立位头痛加重,平卧位头痛减轻或消失,预后良好。但如对该病认识不足,极易误诊。今收集自1989年2月至1994年8月17例误诊病例,报告如下: 1 临床资料 1.1 一般资料:本组男3例,女14例;年龄17~58岁,平均年龄30.5岁,其中20~35岁11例(占64%);急性起病16例,亚急性起病1例;就诊时间2~8天,平均5天。 1.2 症状和体征:病前感冒发热4例,腹泻1例,精神刺激1例,长期服用安定1例,病前无症状10例。本组病例全部头痛(100%),均与体位有关,坐立位头痛加重,卧位时好转,恶心呕吐14倒(82.
Primary intracranial hypobaric disease refers to no obvious predisposing cause of intracranial hypoxia, mainly as a result of changes in position headache, sitting, standing headache increased, supine headache to reduce or disappear, the prognosis is good. However, if the lack of knowledge of the disease, easily misdiagnosed. This collection from February 1989 to August 1994 17 cases of misdiagnosed cases, the report is as follows: 1 Clinical data 1.1 General Information: The group of 3 males and 14 females; aged 17 to 58 years, mean age 30.5 years of age, of which 20 Eleven patients (64%) were 35 years old; acute onset 16 cases, subacute onset 1 case; treatment time 2-8 days, an average of 5 days. 1.2 Symptoms and signs: 4 cases of fever before illness, 1 case of diarrhea, mental stimulation in 1 case, long-term use of diazepam in 1 case, asymptomatic in 10 cases. All patients in this group of headache (100%), are related to posture, sitting position increased headache, when lying prone, nausea and vomiting 14 down (82.