Nadkarni Trimurti, Rekate Harold L, Wallace Donna
Division of Neurological Surgery, Barrow Neurological Institute, St. Joseph's Hospital and Medical Center, Phoenix, Arizona 85013-4496, USA.
J Neurosurg. 2004 Nov;101(5):878-80. doi: 10.3171/jns.2004.101.5.0878.
Two obese women, both of whom were 42 years of age, were examined for pseudotumor cerebri. Intracranial venography revealed increased pressure in the dural venous sinuses and the right atrium. The increased right atrial pressure was attributable to the patients' obesity. Both patients underwent bariatric surgery to achieve weight loss. Approximately 1 year later, a clinical evaluation showed that in both women the pseudotumor cerebri had resolved. Repeated measurements of dural venous pressure indicated that the patients' pressures had returned to normal. Obese patients with pseudotumor cerebri and stable visual symptoms are best treated with weight loss to avoid shunt placement or optic nerve sheath fenestration.
两名均为42岁的肥胖女性接受了假性脑瘤检查。颅内静脉造影显示硬脑膜静脉窦和右心房压力升高。右心房压力升高归因于患者的肥胖。两名患者均接受了减肥手术以减轻体重。大约1年后，临床评估显示两名女性的假性脑瘤均已消退。硬脑膜静脉压力的重复测量表明患者的压力已恢复正常。患有假性脑瘤且视觉症状稳定的肥胖患者，最好通过减肥进行治疗，以避免进行分流手术或视神经鞘开窗术。
