麻烦高人进来看看咋回事儿。谢谢

麻烦坛里大神帮忙看看这是什么意思啊!谢谢ing!

患者因为严重头痛头晕耳鸣做MRI。

Study Result
EXAM: MRI BRAIN W WO CONT
INDICATION: Chronic intractable headache, dizziness, reduced hearing, tinnitus
progressive for one year.
TECHNIQUE. Sagittal T1, axial FLAIR, T2, T1 and gradient echo t2-weighted images
of the head were obtained followed by intravenous infusion 13 ml Prohance repeat
axial and coronal t1-weighted images and axial diffusion weighted images
COMPARISON: CT head 2/23/18
FINDINGS
Ventricular size and configuration are normal
ancement over the convexities is well as the
torum and to
extent extending into the upper cervical spine
No definitive sagging of posterior fossa structures into the foramen magnum
however there is slight downward position of the spleen is a corpus callosum and
there is a convex upper margin of the pituitary
Therefore, findings of diffuse dural enhancement may be related to spontaneous
intracranial hypotension
No evidence of intraparenchymal hemorrhage, infarct mass or other abnormal
extra-axial fluid collections
Flow voids are present in the vertebral, basilar and carotid artery systems
The craniocervical junction is otherwise unremarkable
The structures of the cranial base including paranasal sinuses are
unremarkable
IMPRESSION
MPRESSION
1. Diffuse dural thickeninglenhancement. This is most commonly related to
spontaneous intracranial CSF hypotension although other etiologies such as
meningitis cannot be excluded.
herwise normal MRI of the head.
23X

 

所有跟帖: 

颅内压低喔!颅压高要处理的 -志在千里- 给 志在千里 发送悄悄话 (0 bytes) () 03/16/2018 postreply 12:03:44

+ -欲千北- 给 欲千北 发送悄悄话 欲千北 的博客首页 (0 bytes) () 03/16/2018 postreply 12:14:17

医生怀疑是 spontaneous intracranial CSF hypotension (= 自发性颅内脑脊液低压) -欲千北- 给 欲千北 发送悄悄话 欲千北 的博客首页 (203 bytes) () 03/16/2018 postreply 12:10:42

+1, 颅压低也要查原因的,比如漏... -志在千里- 给 志在千里 发送悄悄话 (0 bytes) () 03/16/2018 postreply 12:26:58

yes, 知道一个病例,脊椎手术后脑脊液泄漏。一旦找到泄漏点,补容易。 -欲千北- 给 欲千北 发送悄悄话 欲千北 的博客首页 (0 bytes) () 03/16/2018 postreply 12:43:47

谢谢各位亲!患者的确有头痛前十天的确有腰麻手术。已经入院检查。再次感谢大家。 -果园- 给 果园 发送悄悄话 (0 bytes) () 03/17/2018 postreply 04:00:52

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