Cardinale A, Rosati C, Giani I, Pezzati M
U.O. Pediatria, USL 20/A, Montevarchi, Arezzo.
Minerva Pediatr. 1991 Jun;43(6):457-60.
Cerebral pseudotumour is an endocranial hypertensive syndrome marked by the absence of focal neurological signs, the integrity of neuroradiological tests and an increased liquor pressure with normal composition of the liquor itself. It is normally self-limiting but if endocranial hypertension persists it may severely affect sight. It may be idiopathic or secondary to a number of conditions. The authors report a case of cerebral pseudotumour following the suspension of corticosteroid treatment. The pathology resolved rapidly following lumbar puncture. The paper focuses on the pathogenetic mechanisms and the still undefined therapeutic possibilities.
脑假瘤是一种颅内高压综合征,其特征为无局灶性神经体征、神经影像学检查结果正常、脑脊液压力升高而脑脊液成分本身正常。它通常为自限性,但如果颅内高压持续存在,可能会严重影响视力。它可能是特发性的,也可能继发于多种情况。作者报告了一例在停用皮质类固醇治疗后发生脑假瘤的病例。腰椎穿刺后病理迅速缓解。本文重点关注发病机制以及仍未明确的治疗可能性。