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相关概念视频

Cerebrospinal Fluid01:21

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Cerebrospinal fluid (CSF) is a colorless liquid that flows around the brain and the spinal cord, playing a vital role in the protection, support, and overall function of the central nervous system (CNS). CSF production, circulation, and absorption are tightly regulated processes essential for the brain and spinal cord to function properly.
CSF Production
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A brain abscess is a focal, intracerebral infection characterized by a localized collection of pus within the brain parenchyma, resulting from microbial invasion and the body’s inflammatory response. It progresses through stages: early and late cerebritis, followed by early and late capsule formation, reflecting tissue destruction, immune response, and eventual encapsulation.Etiology and PathogenesisCausative organisms vary with source and host factors, often involving polymicrobial...
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隐藏的脊髓中枢液泄漏:修补或不修补 - - 一个基于病例的更新.

Jiashu Wang1, Amine P Thomé2, Allan L Brook3

  • 1Albert Einstein College of Medicine, Bronx, NY, USA. jiashu.wang@einsteinmed.edu.

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概括

儿童的隐性自发性内低血压 (oSIH),表现为正常的成像,可以通过经验性外周血补丁 (EBP) 成功治疗. 当保守措施失败时,这种方法可以显著缓解症状.

关键词:
案例报告案例报告大脑脊髓液泄漏 脑脊液泄漏epidural 血液贴片 在外周外注血.儿科 儿科 儿科自发的内低血压.

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科学领域:

  • 神经学 神经学
  • 儿科 儿科 儿科
  • 神经外科 神经外科

背景情况:

  • 自发性内低血压 (SIH) 在儿童中很少见,其特点是由于脑脊液 (CSF) 泄漏而引起的静止性头痛.
  • 怀疑SIH的正常大脑和脊柱成像是不常见的,导致诊断挑战.
  • 成年人的隐性SIH (oSIH) 用经验外周血块 (EBP) 治疗,但没有报告儿科使用.

研究的目的:

  • 报告第一个临床怀疑隐性SIH的儿科病例与正常成像.
  • 评估经验性外周周血贴 (EBP) 在患有隐性SIH的儿科患者的疗效.
  • 突出实证EBP作为一个潜在的治疗儿科oSIH当保守疗法失败时.

主要方法:

  • 一个9岁女孩的病例报告,她患有严重的静止性头痛和正常的大脑/脊柱MRI.
  • 用实证EBP治疗的SIH和oSIH病例的文献综述使用PubMed.
  • 管理包括诊断oSIH和随后的经验性腰部EBP.

主要成果:

  • 患者呈现出经典的SIH症状,但在多次MRI上没有异常.
  • 以前对疑似病毒后综合征和偏头痛的治疗提供了最小的缓解.
  • 经验性腰部EBP导致了深刻,完整和持续的症状解决.

结论:

  • 经验外周周血贴 (EBP) 是对儿科隐性SIH (oSIH) 的可行和有效治疗方法.
  • 在高临床怀疑儿科oSIH的情况下,尽管成像正常,但应考虑经验EBP.
  • 经验EBP为小儿oSIH提供了较低的程序风险和显著的症状改善.