以坐骨神经痛为先兆渗漏症状的动脉瘤性蛛网膜下腔出血一例
摘要
患者女性,49岁。2014年4月16日活动中出现头部不适,表现为顶枕部轻度紧张感,不伴有恶心、呕吐等,后不适感逐渐放射至后背部及双侧腰腿部,伴乏力不适,持续30s症状缓解。主要表现为双侧腰腿牵拉样疼痛,呈持续性,翻身和咳嗽用力时明显加重。17日于当地医院就诊行头颅CT未见异常;颈椎磁共振未见异常;腰椎磁共振示L3/4、4/5、L5/S1椎间盘膨出(图A);头颅MRI示"双侧部顶叶白质变性灶"(图B)。
出处
《脑与神经疾病杂志》
2016年第1期50-51,共2页
Journal of Brain and Nervous Diseases
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