麻煩高人進來看看咋回事兒。謝謝

來源: 果園 2018-03-16 10:32:33 [] [舊帖] [給我悄悄話] 本文已被閱讀: 次 (1868 bytes)

麻煩壇裏大神幫忙看看這是什麽意思啊!謝謝ing!

患者因為嚴重頭痛頭暈耳鳴做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: 

顱內壓低喔!顱壓高要處理的 -誌在千裏- 給 誌在千裏 發送悄悄話 (0 bytes) () 03/16/2018 postreply 12:03:44

+ -欲千北- 給 欲千北 發送悄悄話 欲千北 的博客首頁 (0 bytes) () 03/16/2018 postreply 12:14:17

醫生懷疑是 spontaneous intracranial CSF hypotension (= 自發性顱內腦脊液低壓) -欲千北- 給 欲千北 發送悄悄話 欲千北 的博客首頁 (203 bytes) () 03/16/2018 postreply 12:10:42

+1, 顱壓低也要查原因的,比如漏... -誌在千裏- 給 誌在千裏 發送悄悄話 (0 bytes) () 03/16/2018 postreply 12:26:58

yes, 知道一個病例,脊椎手術後腦脊液泄漏。一旦找到泄漏點,補容易。 -欲千北- 給 欲千北 發送悄悄話 欲千北 的博客首頁 (0 bytes) () 03/16/2018 postreply 12:43:47

謝謝各位親!患者的確有頭痛前十天的確有腰麻手術。已經入院檢查。再次感謝大家。 -果園- 給 果園 發送悄悄話 (0 bytes) () 03/17/2018 postreply 04:00:52

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