Yoshimura N, Soma Y
Department of Neurology, Takeda General Hospital.
Rinsho Shinkeigaku. 1992 Mar;32(3):327-9.
A 10-year-old girl had complained of headache, vomiting and blurred vision for one month before admission to our hospital. Her neurological findings were normal, except that the examination of the fundi revealed papilledema. The cerebrospinal fluid pressure was elevated to 220 mmH2O. The brain MRI showed bilateral and approximately symmetrical hyperintense areas located in the thalamus. These disappeared on the repeated MRI, and her symptoms regressed spontaneously within a month. Her illness was diagnosed as benign intracranial hypertension because of the favorable clinical course. These reversible thalamic lesions might be due to circulatory insufficiency associated with intracranial hypertension.
一名10岁女孩在入院前一个月一直抱怨头痛、呕吐和视力模糊。她的神经系统检查结果正常，只是眼底检查发现视乳头水肿。脑脊液压力升高至220 mmH2O。脑部MRI显示双侧丘脑有大致对称的高信号区。这些区域在重复MRI检查时消失，她的症状在一个月内自发缓解。由于临床过程良好，她的疾病被诊断为良性颅内高压。这些可逆性丘脑病变可能是由于与颅内高压相关的循环不足所致。
