外傷性腰部皮下髄液漏の 1 例

概要

論文の詳細を見る
We report a case of cerebrospinal fluid hypotension probably caused by lumbosacral meningeal rupture due to injury. This 19-year-old male was admitted to our clinic on July 31, 1989, after involvement in a motor vehicle accident. On admission neurological examination revealed no abnormalities except for his altered consciousness level. Physical examination on admission demonstrated a skin abrasion on his back and head. Cranial CT scan showed an epidural hematoma in the right side without evidence of midline shift. Three days after admission the patient complained of a postural headache worsened by taking up a sitting position. Observation revealed the patient had lumbar subcutaneous fluid retention suggesting cerebrospinal fluid leakage. Plain lumbar X-ray revealed L5 spondylosis and S1 spina bifida occulta. In order to confirm the diagnosis and determine the location of the dural tear a myelography was performed, but there was no evidence of abnormalities. Although an accurate leak point could not be detected, he was diagnosed as having cerebrospinal fluid hypotension due to a lumbosacral meningeal rupture. He was kept in bed and received autologous epidural blood patch three times followed by closed continuous drainage of cerebrospinal fluid. He made a good recovery and was free of after-effects. Traumatic lumbar subcutaneous cerebrospinal fluid leakage without traumatic avulsion of lumbosacral nerve roots is extremely rare. The diagnosis and treatment of this condition are discussed here.
日本脊髄外科学会の論文
1998-11-30

外傷性腰部皮下髄液漏の 1 例

スポンサーリンク

概要

著者

関連論文

スポンサーリンク