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首页> 外文期刊>The Canadian Journal of Neurological Sciences: le Journal Canadien des Sciences Neurologiques >Pneumocephalus as a cause for headache.
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Pneumocephalus as a cause for headache.

机译：气头病是头痛的原因。

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BACKGROUND: Pneumocephalus can be a cause of headache, but is easily overlooked in some clinical circumstances. CASE STUDY: A 35-year-old woman developed severe headache of abrupt onset during an epidural blood patch procedure done for a post-lumbar puncture headache. A brain CT scan showed subarachnoid air even though there was no evidence of a dural puncture having occurred during the procedure. RESULTS: The experience of our patient, and a review of the literature suggests that air injected into the epidural space during use of the "loss of resistance" technique can enter the subarachnoid space if a dural puncture site from a previous lumbar puncture is present. CONCLUSIONS: Pneumocephalus should be considered as a potential cause for a severe headache occurring in association with epidural procedures, and also in a number of other clinical settings. Use of a high inspired air oxygen concentration can hasten absorption of an intracranial air collection.
机译：背景：气头病可能是头痛的原因，但在某些临床情况下容易被忽视。病例研究：一名35岁妇女在腰椎穿刺后腰部硬膜外采血过程中出现了突然发作的严重头痛。尽管没有证据表明在手术过程中发生了硬脑膜穿刺，但脑部CT扫描显示蛛网膜下腔空气。结果：我们患者的经验以及对文献的回顾表明，如果存在先前腰椎穿刺的硬膜穿刺部位，则在使用“阻力损失”技术期间向硬膜外腔注入的空气可进入蛛网膜下腔。结论：硬脑膜炎应被认为是与硬膜外手术有关的严重头痛的潜在原因，在其他许多临床情况下也应如此。使用较高的吸入氧气浓度可以加快颅内空气收集的吸收。

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