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[恶性肿瘤源性颅内高压的治疗]

[Treatment of intracranial hypertension of malign tumour origin].

作者信息

Vázquez A, Portillo P, Zazpe I, Muñoz B

机构信息

Servicio de Neurocirugía, Hospital de Navarra, Pamplona.

出版信息

An Sist Sanit Navar. 2004;27 Suppl 3:163-70.

Abstract

Brain tumours are a frequent cause of intracraneal hypertension syndrome, clinically manifested by headache, nausea and vomiting, and a decrease in the level of consciousness. The keypoint sign of intracraneal hypertension is papilloedema. Other manifestations depend on the localization of the tumour, appearing as neurological focality and seizures. The causes of intracranial hypertension of tumoural origin are the mass effect of the tumour, brain edema, the possibility of intratumoural haemorrhage and hydrocephalus caused by obstruction in the circulation of cerebrospinal fluid. The treatments employed, medical or surgical, act against these causes.

摘要

脑肿瘤是颅内高压综合征的常见病因,临床表现为头痛、恶心、呕吐及意识水平下降。颅内高压的关键体征是视乳头水肿。其他表现取决于肿瘤的定位,可表现为神经功能局灶性症状和癫痫发作。肿瘤源性颅内高压的病因包括肿瘤的占位效应、脑水肿、肿瘤内出血的可能性以及脑脊液循环受阻导致的脑积水。所采用的治疗方法,无论是药物治疗还是手术治疗,都是针对这些病因的。

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