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目的探讨原发性低颅压综合征的临床特点及常见误诊。方法回顾性分析12例误诊的原发性低颅压综合征患者的临床资料。结果误诊为蛛网膜下腔出血2例,硬膜下血肿2例,病毒性脑膜炎3例,前庭神经元炎1例,椎基底动脉供血不足3例,颈椎病1例。结论原发性低颅压临床表现多样,早期的MRI检查为一种有效有助于鉴别诊断的非创伤性手段。
Objective To investigate the clinical features and common misdiagnosis of primary intracranial hypotension syndrome. Methods The clinical data of 12 patients with misdiagnosed primary intracranial hypotension syndrome were retrospectively analyzed. The results were misdiagnosed as subarachnoid hemorrhage in 2 cases, subdural hematoma in 2 cases, viral meningitis in 3 cases, vestibular neuritis in 1 case, vertebrobasilar insufficiency in 3 cases, cervical spondylosis in 1 case. Conclusions The clinical manifestations of primary low intracranial pressure are diverse. Early MRI examination is a non-invasive means to effectively differentiate the diagnosis.