皮肤脊髓刺激装置爆炸后脑脊髓液泄漏:一个案例报告
Ryan Huy Nguyen1, Andrew M Nguyen1, Talin Evazyan1
1Department of Chronic Pain, Keck Hospital of USC, Los Angeles, CA.
Pain medicine case reports
|November 27, 2025
概括
脊髓刺激 (SCS) 提取很少会导致脑脊液 (CSF) 泄漏. 这份病例报告强调了在SCS探索期间对此类并发症的保守管理,强调了医生意识.
科学领域:
- 神经外科 神经外科
- 疼痛管理 疼痛管理
- 医疗器械并发症 医疗器械并发症
背景情况:
- 脊髓刺激 (SCS) 是一种常见的慢性疼痛治疗方法.
- 由于并发症或疼痛缓解不足,可能需要设备扩展.
- 与SCS提取相关的并发症没有得到广泛的记录.
研究的目的:
- 报告在SCS探索过程中发生的罕见并发症.
- 讨论SCS取过程中脑脊液 (CSF) 泄漏的管理.
主要方法:
- 一个86岁的病人的病例报告正在接受SCS探索.
- 操作内CSF泄漏的描述.
- 保守的管理方法详细说明.
主要成果:
- 在SCS探索过程中发生了手术内CSF泄漏.
- 泄漏成功地通过手术关闭和腹部粘合剂保守地管理了泄漏.
- 患者在手术后经历了一次轻微的,自我解决的头痛.
结论:
- 在SCS取过程中无意的持续撕裂可能导致CSF泄漏.
- 大多数CSF泄漏从SCS explantation可以管理非手术.
- 疼痛医生需要了解在SCS探索过程中管理CSF泄漏的知识.
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