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[肥胖症手术治疗良性颅内压增高症。病例报告]

[Bariatric surgery for pseudotumor cerebri. Case report].

作者信息

Lazcano-Herrera Erika Edith, Romero-Hernández Teodoro, Martínez-Ordaz José Luis, Blanco-Benavides Roberto

机构信息

Departamento de Gastrocirugía, Hospital de Especialidades, Centro Médico Nacional Siglo XXI, Instituto Mexicano del Seguro Social, México, D.F.

出版信息

Cir Cir. 2005 Sep-Oct;73(5):375-8.

PMID:16336802
Abstract

INTRODUCTION

We report here a case of a patient with pseudotumor cerebri (PTC) associated with morbid obesity. PTC, also called benign intracranial hypertension, is a known complication of morbid obesity with resolution by reduction of obesity.

CLINICAL CASE

A 42-year-old female with morbid obesity and secondary PTC underwent a modified jejunocolonostomy.

RESULTS

The patient has lost 43% of excess body weight and the intracranial pressure is normal.

CONCLUSIONS

PTC is a benign pathology, and the cause may be morbid obesity. Bariatric surgery is useful in the management of these patients for the resolution of this disease.

摘要

引言

我们在此报告一例伴有病态肥胖的假性脑瘤(PTC)患者。PTC,也称为良性颅内高压,是病态肥胖的一种已知并发症,通过减轻肥胖可得到缓解。

临床病例

一名患有病态肥胖和继发性PTC的42岁女性接受了改良空肠结肠吻合术。

结果

患者已减掉43%的多余体重,颅内压正常。

结论

PTC是一种良性病变,病因可能是病态肥胖。减重手术对这类患者治疗该疾病有效。

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引用本文的文献

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Bariatric surgery as a treatment for pseudotumor cerebri: case study and narrative review of the literature.减重手术治疗假性脑瘤:病例报告及文献综述
Sao Paulo Med J. 2017 May 29;136(2):182-187. doi: 10.1590/1516-3180.2016.0305060117. Print 2018 Mar-Apr.
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Incidence of papilledema and obesity in children diagnosed with idiopathic ''benign'' intracranial hypertension: case series and review.诊断为特发性“良性”颅内高压的儿童视乳头水肿和肥胖的发生率:病例系列及综述
J Child Neurol. 2010 Nov;25(11):1389-92. doi: 10.1177/0883073810364853. Epub 2010 Mar 31.