PT -期刊文章盟Wouter i Schievink盟- m . Marcel玛雅AU -富兰克林·g·莫泽盟斯泰西jean - pierre盟米里亚姆努诺- TI - - 10.1212 / WNL昏迷援助。0000000000005477 DP - 2018可能08年TA -神经病学首页PG - e1638 e1645 VI - 90 IP - 19 4099 - //www.ez-admanager.com/content/90/19/e1638.short 4100 - //www.ez-admanager.com/content/90/19/e1638.full所以Neurology2018可能08年;90 AB -客观审查我们的经验与患者自发颅内低血压(硅)和昏迷,因为尽管意识障碍可能复杂的硅,没有这样的病人已经报道的全面研究。方法采用前瞻性维护注册表,我们发现所有患者硅在他昏迷了。病人和他们的照顾者/家庭联系跟进。患者患者相比,一群硅氮没有昏迷。结果12个男人和3个女人的平均年龄与硅56.2年(范围34 - 72年)时出现昏迷。在三分之一的患者中,昏迷了颅骨切开术后硬膜下血肿或不相关的颅内病变。成像显示脑下垂,包括双边颞叶突出,在所有15例,脑干水肿8例(53%)。总的来说,患者昏迷7的可逆15硬膜外血补丁,在2 4接受经皮注射胶,并在6 6进行手术治疗。只有1例残余神经功能缺陷与昏迷(格拉斯哥结果评分分数4[中度残疾])。 Compared to patients with SIH without coma (n = 568), those with coma were older, more often were male, and more often underwent surgery.Conclusions Coma in SIH is rare, reversible, and invariably associated with brain sagging. Coma due to SIH may be refractory to the usual percutaneous procedures, and surgical closure of the CSF leak may be required to regain consciousness.bvFTD=behavioral variant frontotemporal dementia; GCS=Glasgow Coma Scale; SIH=spontaneous intracranial hypotension