Mathews Michaela K, Sergott Robert C, Savino Peter J
Wills Eye Hospital, Neuro-Ophthalmology Service, Philadelphia, PA 19107, USA.
Curr Opin Ophthalmol. 2003 Dec;14(6):364-70. doi: 10.1097/00055735-200312000-00008.
To discuss the current standard in diagnosis and treatment of pseudotumor cerebri (PTC), the syndrome of increased intracranial pressure without a brain tumor. Since PTC is a diagnosis of exclusion, the differential diagnostic work-up is of special importance.
Modern imaging techniques have facilitated the differential diagnosis of PTC. Various therapeutic options are available to prevent irreversible visual loss. New treatment modalities are being explored, but the standard therapy has undergone little change in the past years.
PTC, a potentially blinding disease, most commonly manifests with headache and slightly blurred vision due to papilledema. This review seeks to present a methodical approach to its diagnosis and treatment.
讨论假性脑瘤（PTC）的当前诊断和治疗标准，这是一种无脑肿瘤但颅内压升高的综合征。由于PTC是一种排除性诊断，鉴别诊断检查尤为重要。
现代成像技术有助于PTC的鉴别诊断。有多种治疗选择可预防不可逆的视力丧失。新的治疗方式正在探索中，但标准治疗在过去几年几乎没有变化。
PTC是一种潜在致盲性疾病，最常见的表现是头痛和因视乳头水肿导致的轻度视力模糊。本综述旨在提出一种系统的诊断和治疗方法。
