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首页> 外文期刊>Cephalalgia >Posture-related headaches and pachymeningeal enhancement in CSF leaks from craniotomy site.
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Posture-related headaches and pachymeningeal enhancement in CSF leaks from craniotomy site.

机译：颅骨切开部位的CSF泄漏与姿势相关的头痛和前脑膜增强。

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Cerebrospinal fluid (CSF) leak is recognized to cause headaches that typically but not invariably have orthostatic features (present in upright posture, relieved by recumbency). Head magnetic resonance imaging (MRI) typically shows diffuse pachymeningeal enhancement. A 24-year-old woman, after resection of a right temporoparietal glioma, developed CSF leak from the craniotomy site, resulting in subgaleal fluid collection and associated with diffuse pachymeningeal gadolinium enhancement as well as posture-related headaches. The headaches, however, were present in a recumbent position and relieved after several minutes of being in an upright position. It is postulated that CSF leak took place when the patient was recumbent and ceased when she was upright, a position in which there is decrease in intracranial pressure. After cessation of the leak, along with disappearance of subgaleal collection of CSF, both the headaches and the pachymeningeal enhancement resolved.
机译：脑脊液（CSF）泄漏被认为可引起头痛，这些头痛通常但并非总是具有体位性特征（呈直立姿势，靠卧位可缓解）。头部磁共振成像（MRI）通常显示弥漫性前脑膜增强。一名24岁的女性在切除了右侧颞顶神经胶质瘤后，从颅骨切开部位出现了脑脊液漏出，导致了睑下积液，并伴有弥漫性前脑膜eal的增强以及与姿势相关的头痛。但是，头痛位于靠背的位置，直立站立几分钟后可以缓解。据推测，当患者卧躺时发生脑脊液漏，而当患者直立时发生脑脊液漏，颅内压降低。停止渗漏后，随着脑脊膜下收集CSF的消失，头痛和前脑膜增强均得到解决。

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