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经过硬膜穿刺后的双边皮下湿疹

Roisin McCarthy¹, David Burke², Jane Bruton²

¹Department of Anaesthesiology, Our Lady of Lourdes Hospital, Drogheda, County Louth, Ireland rcarthy3@gmail.com.

BMJ case reports

|August 25, 2025

概括

一个严重的头痛和神经, 经过外周止痛, 经过外周血贴后消失了. 神经影像可能有助于选择患者进行这种干预,特别是那些有神经症状的患者.

科学领域:

神经学
麻醉学
神经外科

背景情况:

在外围注射过程中无意中刺穿外围注射,可能导致外围注射后头痛 (PDPH).
这可能会导致神经复杂症,如神经.
皮下瘤是一种罕见的PDPH并发症.

研究的目的:

报告一个PDPH病例,
讨论神经成像和外周血贴 (EBP) 在处理复杂PDPH病例中的作用.

主要方法:

一位产妇经历了位置性头痛和随后的左脑第六神经,
脑部CT显示双侧下瘤没有增加内压力.
在腹腔穿刺8天后进行了外周血液贴片.

主要成果:

外血块可以立即缓解头痛.
第六个神经在EBP后一周内消失.
尽管患有皮下湿疹,但患者对EBP没有任何禁忌.

结论:

即使存在皮肤下湿瘤,外周血贴也是PDPH的有效治疗方法.
在特定的PDPH病例中,神经影像可能是有益的,在EBP之前有神经症状或非典型症状.

关键词:

麻醉剂大脑神经头痛 (包括偏头痛)疼痛怀孕期间

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