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低脑脊液压综合征的病态是脑脊液减少,因此考虑病名称为脑脊液减少症为好。本病以头痛为主,有颈痛、腰痛、视力模糊,光过敏、眩晕、耳鸣、睡眠障碍、记忆障碍、倦怠等多种症状,该病可以通过影像诊断。头MRI显示硬膜下扩大,小脑扁桃体下垂,静脉扩张等脑脊液减少的改变,RI脑池闪烁扫描和MR脊髓造影可见脑脊液减少。特发性低脑脊液综合征具有起立性头痛、脑脊液压低下,头MRI弥漫性硬膜造影的三个特征,但这是急性期表现,如拘泥于此则多数病例易被漏诊。治疗上,为使脑脊液增加,可卧床安静休息和补充足够的水分,如效果不理想时,可采用脊髓硬膜外自身血注入。此外,本病多为挥鞭样损伤后遗症的病因。
The pathology of low CSF syndrome is a decrease in cerebrospinal fluid, so considering the name of the disease as cerebrospinal fluid reduction is good. The disease is mainly headache, neck pain, back pain, blurred vision, light allergies, dizziness, tinnitus, sleep disorders, memory disorders, fatigue and other symptoms, the disease can be diagnosed by imaging. Head MRI showed subdural enlargement, cerebellar tonsillar ptosis, venous dilatation and other changes in cerebrospinal fluid, RI scintigraphy and MRI scintigraphy MR cerebrospinal fluid can be reduced. Idiopathic low CSF syndrome has features of stereotypical headache, low cerebrospinal fluid pressure and diffuse MRI of the head. However, this is an acute manifestation. For example, most cases are often misdiagnosed. Treatment, in order to increase the cerebrospinal fluid, bed rest can be rest and add enough water, such as the effect is not ideal, you can use spinal cord epidural blood injection. In addition, the disease is mostly whip-like injury sequelae of the etiology.