原发性低颅压性头痛16例临床分析  

Clinical analysis of 16 cases with primary hypotensive cranial pressure headache

作　　者：张凑芳 钱可久[2] 

机构地区：[1]浙江省磐安人民医院内科,322300 [2]上海第二医科大学附属仁济医院神经科

出　　处：《中国综合临床》2004年第10期886-887,共2页Clinical Medicine of China

摘　　要：目的　探讨原发性低颅压性头痛的临床特点。方法　回顾分析 16例原发性低颅压性头痛患者的临床资料。结果 16例患者急性发病 11例 ,缓慢发病 5例。发作年龄 11～ 4 5岁。其主要症状为体位性头痛。神经征以颈项抵抗多见。侧卧位腰穿压力 <6 0mmH2 O ,脑脊液分析 :除RBC、WBC与蛋白轻度增高外 ,其余大多在正常范围。经补液治疗后大部分好转 ,仅 2例并发硬膜下血肿。结论　原发性低颅压性头痛主要特点为直立位头痛 ,神经征少见 ,经补液治疗有效。本病应警惕硬膜下血肿的发生 ,并注意与蛛网膜下腔出血的鉴别。Objective To explore the clinical features of primary hypotensive cranial pressure headache.Methods Clinical data of 16 cases of primary hypotensive cranial pressure headache were retrospectively analyzed.Results Of 16 cases,11 were acute onset and 5 were slow onset.The ages of onset were from 11 to 45.The primary symptom was positional headache.Neck stiffness was common.Cerebrospinal fluid(CSF) pressure was less than 60 mm H 2O.CSF data were normal except RBC and WBC in CSF and protein in some cases were increased.Most cases were improved after treatment and 2 cases had complicated with subdural hematoma.Conclusion Primary hypotensive cranial pressure headache is characterized by positional headache.The treatment of drop liquid infusion is effective.Subdural hematoma should be noticed and differentiated from subarachnoid hemorrhage.

关 键 词：颅内低压 头痛 补液治疗 

分 类 号：R651.1[医药卫生—外科学]