连续外腔注射盐水输液用于皮质静脉血栓形成的自发性内低血压:说明案例

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Michihide Kajita^1,2, Kiyoyuki Yanaka¹, Hitoshi Aiyama¹

¹Department of Neurosurgery, Tsukuba Memorial Hospital, Tsukuba, Ibaraki.

Journal of neurosurgery. Case lessons

|January 22, 2026

概括

自发的内低血压 (SIH) 与脑静脉血栓形成 (CVT) 是罕见的. 连续外围注射盐水输液 (CESI) 有效地治疗了一名患有SIH,CVT和皮肤下血液瘤的患者,显示症状缓解和成像改善.

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:

自发性内低血压 (SIH),由于脑脊液 (CSF) 泄漏,通常表现为正静性头痛.
大脑静脉血栓塞 (CVT) 是SIH的罕见但严重的并发症.
诊断并存的SIH和CVT存在挑战,因为它们的罕见性和重叠的症状,阻碍了及时识别.

研究的目的:

在患有腹膜下血液瘤的患者中报告一个同时存在的SIH和CVT病例.
突出诊断挑战和成功管理这种罕见的疾病.
评估连续外腔注射盐水输液 (CESI) 作为保守治疗的疗效.

主要方法:

一名40岁的女性患者出现了正静止性头痛和双侧头骨头骨疼痛.
诊断成像显示,SIH具有扩散的持续增强,CVT与上部斜鼻相邻,以及左凸的腹腔内血瘤.
管理涉及CESI,避免抗凝血和外周血栓贴片以减轻风险.

主要成果:

患者在CESI后经历了快速的症状改善.
5个月后的后续成像显示,CVT和SIH相关发现的完全解决.
在不加剧出血或压力变化的情况下,CESI促进了内压力的逐渐稳定.

结论:

在SIH患者中,对CVT的警是至关重要的,特别是持续症状.
对于SIH患者,CESI提供了一种安全有效的保守治疗方案,以尽量减少并发症.
在这种罕见的临床场景中,个性化治疗策略对于优化结果至关重要.

关键词:

大脑静脉血栓形成的脑静脉血栓连续的外围注射盐水输液.自发的内低血压.皮下血腫 (subdural hematoma) 是一種皮下血腫.

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