PDF(Pubmed)
Abstract：
UNASSIGNED: In-office use of the Trendelenburg position has been shown to be a beneficial clinical tool to help decipher if a CSF pressure/volume component is part of the underlying etiologic process for a patient\'s persistent headache. Utilizing the Trendelenburg position at home could potentially be an additional diagnostic tool for the treating headache physician.
UNASSIGNED: Our headache practice has been using at-home self-Trendelenburg for the past 2 years and will present the clinical scenarios in which it seems to be the most helpful utilizing a case series of patients. These include (1) in those who just had a lumbar puncture and call for worsening headaches and do not have an obvious orthostatic component; (2) in those who had a spinal epidural blood patch for a presumed CSF leak and state there was no improvement; (3) in those who are on daily preventive CSF volume-lowering medications and call in with worsening headaches; (4) in those with known CSF pressure-dependent headaches high or low but who are not on daily preventive CSF volume modulatory medications; (5) in those with a history of migraine or other primary headache disorder to see if a new type of headache is possibly from a CSF leak or an abnormal reset of CSF pressure to an elevated state; (6) in those with triggered only headaches like cough or exertional headache.
UNASSIGNED: Utilizing at-home self-Trendelenburg can provide valuable information for the treating headache physician on possible underlying headache etiology and can guide specific treatment strategies. Its simplicity and quick declaration of results are very patient pleasing.
UNASSIGNED: Our headache practice has been using at-home self-Trendelenburg for the past 2 years and will present the clinical scenarios in which it seems to be the most helpful utilizing a case series of patients. These include (1) in those who just had a lumbar puncture and call for worsening headaches and do not have an obvious orthostatic component; (2) in those who had a spinal epidural blood patch for a presumed CSF leak and state there was no improvement; (3) in those who are on daily preventive CSF volume-lowering medications and call in with worsening headaches; (4) in those with known CSF pressure-dependent headaches high or low but who are not on daily preventive CSF volume modulatory medications; (5) in those with a history of migraine or other primary headache disorder to see if a new type of headache is possibly from a CSF leak or an abnormal reset of CSF pressure to an elevated state; (6) in those with triggered only headaches like cough or exertional headache.
UNASSIGNED: Utilizing at-home self-Trendelenburg can provide valuable information for the treating headache physician on possible underlying headache etiology and can guide specific treatment strategies. Its simplicity and quick declaration of results are very patient pleasing.
摘要：
■在办公室使用Trendelenburg位置已被证明是一种有益的临床工具，有助于破译CSF压力/体积成分是否是患者持续性头痛的潜在病因过程的一部分。在家中利用Trendelenburg位置可能是治疗头痛医生的额外诊断工具。
■在过去的2年中，我们的头痛实践一直在使用家庭自我Trendelenburg，并将介绍临床方案，在这些方案中，使用一系列病例患者似乎是最有帮助的。这些包括（1）在那些刚刚进行腰椎穿刺并呼吁恶化头痛且没有明显的直立成分的人中；（2）在患有脊髓硬膜外血贴的人中，推测有CSF渗漏，状态没有改善；（3）在那些每天服用预防性降低CSF体积的药物并伴有头痛恶化的人中；（4）在已知的CSF压力依赖性头痛的人中，如果在其他CSF剂量的高或低的头痛状态下，则可能是由
■利用家庭自我Trendelenburg可以为治疗头痛的医生提供有关潜在头痛病因的有价值的信息，并可以指导特定的治疗策略。它的简单性和快速的结果声明非常令人耐心。
■在过去的2年中，我们的头痛实践一直在使用家庭自我Trendelenburg，并将介绍临床方案，在这些方案中，使用一系列病例患者似乎是最有帮助的。这些包括（1）在那些刚刚进行腰椎穿刺并呼吁恶化头痛且没有明显的直立成分的人中；（2）在患有脊髓硬膜外血贴的人中，推测有CSF渗漏，状态没有改善；（3）在那些每天服用预防性降低CSF体积的药物并伴有头痛恶化的人中；（4）在已知的CSF压力依赖性头痛的人中，如果在其他CSF剂量的高或低的头痛状态下，则可能是由
■利用家庭自我Trendelenburg可以为治疗头痛的医生提供有关潜在头痛病因的有价值的信息，并可以指导特定的治疗策略。它的简单性和快速的结果声明非常令人耐心。
