长时间经鼻持续气道正压治疗后的非典型头痛  

Atypical headache after prolonged treatment with nasal continuous posit ive airway pressure

作　　者：Bernstein A.L. Cassidy J. Duchynski R. Eisenberg S.S. 陈云春 

机构地区：[1]Department of Neurology, Kaiser Permanente Medical Center, 401 Bicentennial Way, Santa Rosa, CA 95403, United States Dr.

出　　处：《世界核心医学期刊文摘（神经病学分册）》2005年第10期23-23,共1页Digest of the World Core Medical Journals:Clinical Neurology

摘　　要：We report a case of atraumatic pneumocephalus associated with prolonged use o f nasal continuous positive airway pressure. Initial symptoms included headache, ataxia, vertigo, and a “ gurgling” sensation in the head; and a CT image sho wed small air bubbles along the falx of cerebrum and adjacent to the temporal ep idural spaces bilaterally. Although no evidence of cerebrospinal fluid (CSF) lea k was either reported by the patient or found at initial clinical examination, s ubsequent nasal discharge tested positive for β 2- transferrin, a finding cons istent with CSF leak in the paranasal sinus region or through the cribriform pla te. To try to prevent infection from an open communication between the paranasal sinuses and intracranial structures, an attempt should be made to localize the anatomic defect.We report a case of atraumatic pneumocephalus associated with prolonged use o f nasal continuous positive airway pressure. Initial symptoms included headache, ataxia, vertigo, and a “ gurgling” sensation in the head; and a CT image sho wed small air bubbles along the falx of cerebrum and adjacent to the temporal ep idural spaces bilaterally. Although no evidence of cerebrospinal fluid (CSF) lea k was either reported by the patient or found at initial clinical examination, s ubsequent nasal discharge tested positive for β 2- transferrin, a finding cons istent with CSF leak in the paranasal sinus region or through the cribriform pla te. To try to prevent infection from an open communication between the paranasal sinuses and intracranial structures, an attempt should be made to localize the anatomic defect.

关 键 词：持续气道正压 经鼻 颅腔积气 共济失调 颅内结构 大脑镰 鼻分泌物 硬膜外间隙 成像显示 

分 类 号：R741[医药卫生—神经病学与精神病学]