Lumbar puncture and dural sinus thrombosis - A causal or casual association?

被引：69

作者：

Canhao, P ^{[1
]}

Batista, P ^{[1
]}

Falcao, F ^{[1
]}

机构：

[1] Hosp Santa Maria, Dept Neurol, Serv Neurol, PT-1649035 Lisbon, Portugal

来源：

CEREBROVASCULAR DISEASES | 2005年 / 19卷 / 01期

关键词：

lumbar puncture; dural sinus thrombosis; venous blood flow; transcranial Doppler;

D O I：

10.1159/000081912

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background: A few cases of cerebral venous thrombosis (CVT) were reported after a lumbar puncture (LP), suggesting a causal association. The purpose of our study was to document that LP might predispose to CVT by decreasing blood flow velocities (BFV) in veins or dural sinus. Methods: We performed a transcranial Doppler ultrasound study to register the mean BFV of the straight sinus ( SS) before, during and after LP. Results: Thirteen patients were studied. LP induced a decrease of 47% of mean BFV in the SS. The mean decrease of BFV was significant immediately at the end (p = 0.003), 30 min after (p = 0.015) and more than 6 h after LP (p = 0.008). Conclusions: LP induced a sustained decrease of mean BFV in the SS. The decrease of venous blood flow is a possible mechanism contributing to the occurrence of CVT. Copyright (C) 2005 S. Karger AG, Basel.

引用

页码：53 / 56

页数：4

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