腰椎外周类固醇注射后的肺脑炎:一种罕见的并发症,自发解决
Yasser Hegazy1, Natalie N Balassiano1, Ishank Gupta1
1Internal Medicine, Icahn School of Medicine at Mount Sinai, Queens Hospital Center, New York, USA.
Cureus
|December 9, 2024
概括
脊柱手术后可能出现肺脑病或内空气. 这个案例表明,保守的管理,如床上休息和液体,有效地解决了没有手术的症状.
科学领域:
- 神经学 神经学
- 神经外科 神经外科
- 放射学 放射学是一门学科.
背景情况:
- 肺脑病是一种罕见的脊柱手术并发症,涉及内空气.
- 腰部外围注射类固醇注射越来越常见,需要对潜在的不良事件进行意识.
研究的目的:
- 报告在腰部外周注射类固醇注射后出现肺脑病例.
- 为了突出这种并发症的保守管理的有效性.
主要方法:
- 一个40岁的女性在手术后出现头痛,视力模糊和眼睛疼痛的病例报告.
- 使用头部和腰椎的计算机断层扫描 (CT) 进行诊断成像.
- 保守治疗包括床上休息,补水和缓解症状.
主要成果:
- 扫描扫描证实大脑小池和前角的内空气,以及外周和脊柱旁空气.
- 随着保守的管理,症状逐渐改善.
- 重复CT扫描显示,气囊在10天内消失,避免了神经外科干预.
结论:
- 肺脑是一种已知的外围注射类固醇注射的并发症.
- 保守的管理是有效的简单的肺脑病.
- 密切监测至关重要,以防止进展到紧张性肺脑病,需要紧急的手术干预.
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