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Clinical Evaluation of Spontaneous Intracranial Hypotension (SIH): From the standpoint of Pain Clinicians

机译：自发颅内肺部（SIH）的临床评价：从临床医师的角度出发

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We experienced a case of spontaneous intracranial hypotension ySIH y due to cerebrospinal fluid leakage in the thoracic area.0Based on our case and other 26 cases of SIH that were reported in the past 5 years in Japan, we examined the symptoms of SIH, complications, diagnostic methods, treatments, and the time to complete cure.0About 10% of SIH cases were associated with epidural hematoma, which modified headache symptoms. Such treatments as supine rest, infusion loading, steroid administration, epidural saline infusion, epidural autologous blood patch, epidural fibrin glue injection, and surgical repair had been carried out. The time to complete cure was the shortest when epidural autologous blood patch was employed. But exacerbation of neurological symptoms due to increased intracranial pressure associated with massive epidural infusion has been reported in some cases with this treatment, which indicated that epidural blood should be infused gradually to maintain normal intracranial pressure.
机译：我们经历了一种自发的颅内颅内血管ysih y由于胸腔渗漏的胸腔渗漏。在我们的案例和其他26例SIH的情况下，在过去5年的日本报道，我们检查了SIH，并发症的症状，诊断方法，治疗以及完成治愈的时间。10％的SIH病例的SIH病例与硬膜外血肿有关，其改性头痛症状。这种治疗如仰卧静脉，输注载荷，类固醇给药，硬膜外盐水输注，硬膜外纤维蛋白胶水，外科修复和手术修复。在使用硬膜外自体血液贴片时，完成治愈的时间是最短的。在某些情况下，在这种治疗中报道了由于与大规模硬膜外输注相关的颅内压增加而加剧神经系统症状的恶化，这表明硬膜外血液应逐渐注入以保持正常的颅内压力。

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