未经证实:脑下垂性痴呆(BSD)是一种日益公认的综合征,最近提出了诊断标准。没有关于颅漏引起的BSD的报道。在这里,我们介绍了由颅漏引起的BSD患者的第一份报告。
UNASSIGNED:一名60岁的男性患者入院,有2年的体位性头痛病史,认知和行为逐渐改变。自发性低颅压的传统治疗方法,包括反复的硬膜外血斑,failed.脑部成像显示大脑严重下垂,颅内压监测显示颅内低血压。未发现渗漏部位。他过去的病史揭示了一次事故,十岁时滑雪杆击中了他的头部。由于临床进行性下降,手术进行了。发现并修复了颅骨缺损,伴随着脑脊液渗漏部位,代表了他童年时期的创伤。他还需要脑室-腹腔分流术。手术后,他好转并完全恢复。
未经证实:此病例报告说明颅漏可能导致BSD,即使创伤和症状首次出现之间存在“清醒的间隔”,也跨越了很多年。此外,本报告很好地验证了最近提出的BSD诊断标准.
UNASSIGNED: Brain Sagging Dementia (BSD) is an increasingly recognized syndrome for which diagnostic criteria recently were proposed. There have been no
reports on BSD caused by a
cranial leak. Here we present the first report on a patient with BSD caused by a
cranial leak.
UNASSIGNED: A 60-year old male patient was admitted with a 2-year history of orthostatic headache and gradually progressive cognitive and behavioral changes. Traditional treatments for spontaneous intracranial hypotension, including repeated epidural blood patches, failed. Brain imaging showed severe brain sagging, and intracranial pressure monitoring demonstrated intracranial hypotension. No leakage site was found. His past medical history revealed an accident where a ski pole struck his head at age ten. Due to progressive clinical decline, surgery was pursued. A
cranial defect with an accompanying cerebrospinal fluid leak site representing the trauma from his childhood was found and repaired. He also was in need of a ventriculoperitoneal shunt. Following surgery, he improved and recovered completely.
UNASSIGNED: This
case report illustrates that a
cranial leak may cause BSD, even with a \"lucid interval\" between trauma and symptom debut spanning many years. Moreover, this report validates well the recently proposed BSD diagnostic criteria.