Clinical features of cerebrospinal fluid leakage after a confirmed diagnosis by CT myelography
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- KIMOTO Katsuhiro
- Department of Anesthesiology, Nara Medical University
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- WATANABE Keisuke
- Department of Anesthesiology, Nara Medical University
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- FUJIWARA Aki
- Department of Anesthesiology, Nara Medical University
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- SHINOHARA Kozue
- Department of Anesthesia, Osaka Gyoumeikan Hospital
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- FUKUMOTO Michiko
- Department of Anesthesiology, Nara Medical University
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- HASHIZUME Keiji
- Department of Anesthesia, Takai Hospital
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- KAWAGUCHI Masahiko
- Department of Anesthesiology, Nara Medical University
Bibliographic Information
- Other Title
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- 脊髄造影CTで診断した脳脊髄液漏出症の臨床像―58症例の疫学的検討―
- セキズイゾウエイ CT デ シンダン シタ ノウ セキズイエキ ロウシュツショウ ノ リンショウゾウ : 58 ショウレイ ノ エキガクテキ ケントウ
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Description
<p>We present the clinical features of 58 cases in which an epidural blood patch (EBP) was performed after a diagnosis of cerebrospinal fluid leakage (CSFL) was confirmed by CT myelography (CTM). From December 2004 to February 2016, we retrospectively evaluated 58 cases of CSFL in terms of epidemiology, presence of orthostatic headache, subarachnoid hematoma, diffuse pachymeningeal gadolinium enhancement, number of EBPs required, amount of autologous blood injected into the epidural space, and whether patients were treated with fluoroscopy-guided EBP. CSFL occurs predominantly in women and is most common in patients in their late thirties. In this study, 79.3% (46/58) of CSFL patients developed orthostatic headache. Subdural hematoma was found in 34.5% (20/58) of patients and 13.8% (8/58) needed a burr hole. At most, patients required 6 EBPs until their symptoms diminished (the median was two EBPs). In fact, 74.1% (43/58) of patients completely recovered after two EBPs. The results of this report suggest that orthostatic headache and diffuse pachymeningeal gadolinium enhancement are common in CSFL patients, and fluoroscopy-guided EBP is an effective treatment method for CSFL.</p>
Journal
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- Journal of Japan Society of Pain Clinicians
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Journal of Japan Society of Pain Clinicians 24 (4), 325-331, 2017
Japan Society of Pain Clinicians
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Details 詳細情報について
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- CRID
- 1390282679435028352
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- NII Article ID
- 130006195214
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- NII Book ID
- AN10440947
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- ISSN
- 18841791
- 13404903
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- NDL BIB ID
- 028644399
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- Text Lang
- ja
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- Data Source
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- JaLC
- NDL
- CiNii Articles
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- Abstract License Flag
- Disallowed