自发性低颅压诊疗专家共识(2024)  

Expert consensus on diagnosis and treatment of spontaneous intracranial hypotension(2024)

作　　者：中国医师协会神经内科医师分会 中国研究型医院学会头痛与感觉障碍专委会 武力勇[2] 于生元[3] 何非方[4] 王震 李军杰[5] 董钊[6] 王谨[7] 冀雅彬[8] Neurologist Branch,Chinese Medical Doctor Association;Headache and Sensory Disorders Committee,Chinese Research Hospital Association;Wu Liyong;Yu Shengyuan;He Feifang(不详;Department of Neurology,Xuanwu Hospital,Capital Medical University,Beijing 100053,China;Department of Neurology,General Hospital of Chinese People′s Liberation Army,Beijing 100853,China;Department of Pain Medicine,Sir Run Run Shaw Hospital Affiliated to Zhejiang University School of Medicine,Hangzhou 310000,China)

机构地区：[1]不详 [2]首都医科大学宣武医院神经内科,北京100053 [3]中国人民解放军总医院神经内科医学部,北京100853 [4]浙江大学医学院附属邵逸夫医院疼痛科,杭州310000 [5]首都医科大学宣武医院神经内科 [6]解放军总医院神经内科医学部 [7]浙江大学医学院附属邵逸夫医院神经内科 [8]南方医科大学南方医院神经内科

出　　处：《中华医学杂志》2024年第43期3943-3960,共18页National Medical Journal of China

基　　金：Neurologist Branch,Chinese Medical Doctor Association Headache and Sensory Disorders Committee,Chinese Research Hospital Association Wu Liyong Yu Shengyuan He Feifang。

摘　　要：自发性低颅压是一种脊髓脑脊液漏引起的以直立性头痛为主要表现的疾病,患者被迫卧床,生活质量明显降低,严重者可继发硬膜下血肿等并发症,临床实践中存在误诊率高、检查和治疗手段开展不足等问题。为提高临床医师对自发性低颅压的认识,规范疾病诊疗,中国医师协会神经内科医师分会和中国研究型医院学会头痛与感觉障碍专委会组织专家结合国内外临床实践和近年的文献证据,经反复讨论,针对自发性低颅压的临床识别、检查流程、诊断标准、治疗和随访共计制订了30条推荐意见。Spontaneous intracranial hypotension is a disease characterized by orthostatic headache caused by spinal cerebrospinal fluid leakage.Patients have to remain bedridden,which significantly affects their quality of life.In severe cases,complications such as subdural hematomas may occur.Clinical practice reveals a high rate of misdiagnosis and insufficient implementation of diagnostic and treatment measures.To improve clinical physicians′understanding of spontaneous intracranial hypotension and to standardize the diagnosis and treatment,the Neurologist Branch of the Chinese Medical Doctor Association and the Headache and Sensory Disorders Committee of the Chinese Research Hospital Association organized experts to develop a total of 30 recommendations on the clinical identification,examination processes,diagnostic criteria,treatment,and follow-up of spontaneous intracranial hypotension based on domestic and international clinical practices and recent literature evidence after extensive discussions.

关 键 词：头痛 低颅压 脊髓脑脊液漏 硬膜下血肿 硬膜外血贴 

分 类 号：R741[医药卫生—神经病学与精神病学]