Postmyelography headache: a review.
Postmyelography headache: a review.
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脊髓造影后头痛：回顾。
DOI：
10.1148/radiology.200.3.8756929
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发表时间：
1996
期刊：
影响因子：
--
通讯作者：
Peterman,SB
中科院分区：
文献类型：
--
作者：
Peterman,SB
作者回顾了硬膜后穿刺头痛 (PDPH) 主题，以便放射科医生可以更好地了解、预防和治疗这种常见的脊髓造影并发症。 PDPH 是一种通过仰卧位缓解的体位性头痛，36.0%-58.2% 在使用 22 号 Quincke 针进行脊髓造影手术后发生。它在 3 天内开始，持续 3-5 天。瘦弱的年轻女性更容易患 PDPH。较小规格的针、钝尖针、旁正中方法和斜角针的平行方向与较低的 PDPH 率相关。静脉补液、不去除脑脊液、脊髓造影医生的经验以及住院状态与较低的 PDPH 发生率的相关性不一致。治疗以卧床休息为主。对于更严重的 PDPH，可以口服或静脉注射甲基黄嘌呤药物。硬膜外血贴虽然很少需要，但非常有效。
The author reviews the topic of postdural puncture headache (PDPH) so radiologists can better understand, prevent, and treat this common complication of myelography. PDPH, a postural headache relieved by lying supine, occurs after 36.0%-58.2% of myelographic procedures performed with 22-gauge Quincke needles. It begins within 3 days and lasts 3-5 days. Thin, young women are more likely to develop PDPH. Smaller gauge needles, blunt-tip needles, a paramedian approach, and parallel orientation of a bevel needle are associated with lower PDPH rates. Intravenous hydration, no removal of cerebrospinal fluid, experience of the myelographer, and inpatient status have been inconsistently associated with lower PDPH rates. Treatment is supportive with bed rest. Oral or intravenous methylxanthine agents may be given for more severe PDPH. An epidural blood patch, although rarely needed, is very effective.