- 期刊
Cisternography Showed CSF Leakage on SPECT/CT
腦池造影光子電腦斷層（SPECT/CT）偵測腦脊液外漏
摘要
一位36歲男性，為一網球選手，喜歡後仰殺球，沒有任何創傷病史，也沒有任何疾患，直到兩個星期前，開始抱怨頭痛，尤其在改變姿勢時。神經學檢查，發現輕微視神經乳頭水腫，兩側對稱較弱的深層肌腱反射，步態及姿態良好。脊髓鞘內注射Tc-99m DTPA後，進行核醫腦池造影，顯示EBF（注射1小時內，早期膀胱藥物填充）、LCF（藥物注射24小時後，兩側腦半球無顯影充填），以及頸部/顱底有滲漏處。光子電腦斷層（SPECT/CT）顯示證實位於第一及第二頸椎間有腦脊液外漏。
並列摘要
A 36 year-old male who was a tennis player often used the smash technique. He had no history of traumatic injuries and was in his usual state of good health until two weeks ago. He started to complain of headache, especially with changes in body position. Neurologic examination showed papilledema+/+, symmetric hypoactive deep tendon reflex, fair gait and stance. A cisternography using intrathecal injection of Tc-99m DTPA showed EBF (early bladder filling) of tracer within 1 hour of delivery, LCF (lack of high convexity filling) at 24 hours after delivery, and CSF leakage in the neck/skull base area. The SPECT/CT proved a CSF leakage between the 1st and 2nd cervical vertebrae.
延伸閱讀
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