Jindal Mudit, Hiam Lucinda, Raman Ashok, Rejali Darius
Department of Otolaryngology, University Hospital Coventry and Warwick Hospital, Coventry, UK.
Eur Arch Otorhinolaryngol. 2009 Jun;266(6):803-6. doi: 10.1007/s00405-009-0973-0. Epub 2009 Apr 8.
Idiopathic intracranial hypertension (IIH) is defined as increased intracranial pressure in the absence of intracranial mass or obstructive hydrocephalus. Over 80% of patients are overweight women. IIH is usually encountered in the neurology and ophthalmology practise as headaches, visual disturbance and papilloedema are the characteristic features of this syndrome. Patients with IIH also experience tinnitus, hearing loss, balance disturbance, cerebrospinal fluid (CSF) otorrhoea or rhinorrhoea and in some cases these otorhinological symptoms can be presenting features of this syndrome. IIH is also associated with obstructive sleep apnoea. Otolaryngologists should be familiar with this important condition as it can manifest a variety of symptoms that are more frequently seen in their clinics. Sometimes otolaryngologists may be involved in the surgical management of this condition, such as repair of CSF rhinorrhoea or otorrhoea or endoscopic optic nerve decompression. The aim of this review article is to familiarise the otolaryngologists with the important features of this unusual syndrome which may remain unrecognised in the otolaryngology practice.
特发性颅内高压（IIH）被定义为在没有颅内占位或梗阻性脑积水的情况下颅内压升高。超过80%的患者为超重女性。IIH在神经科和眼科实践中较为常见，因为头痛、视力障碍和视乳头水肿是该综合征的典型特征。IIH患者还会出现耳鸣、听力丧失、平衡障碍、脑脊液（CSF）耳漏或鼻漏，在某些情况下，这些耳鼻喉科症状可能是该综合征的首发症状。IIH还与阻塞性睡眠呼吸暂停有关。耳鼻喉科医生应熟悉这种重要疾病，因为它可能表现出多种在其诊所更常见的症状。有时，耳鼻喉科医生可能会参与该疾病的手术治疗，如脑脊液鼻漏或耳漏的修复或内镜下视神经减压。这篇综述文章的目的是让耳鼻喉科医生熟悉这种不寻常综合征的重要特征，这些特征在耳鼻喉科实践中可能未被认识到。
