Wall M
Department of Neurology, Tulane University School of Medicine, New Orleans, Louisiana.
Neurol Clin. 1991 Feb;9(1):73-95.
Although the cause of IIH remains obscure, loss of visual function is common, and patients may progress to blindness. Diagnosis should adhere to the modified Dandy criteria. Recent case-control studies cast doubt on the validity of many frequently cited conditions associated with IIH. Valid associations include obesity, recent weight gain, female sex, vitamin A intoxication, and steroid withdrawal. Management should include serial perimetry using a sensitive disease-specific strategy so the proper therapy can be selected and visual loss prevented or reversed.
虽然特发性颅内高压（IIH）的病因仍不明确，但视力丧失很常见，患者可能会发展为失明。诊断应遵循改良的丹迪标准。最近的病例对照研究对许多经常被提及的与IIH相关的病症的有效性提出了质疑。有效的关联因素包括肥胖、近期体重增加、女性、维生素A中毒和类固醇撤药。治疗应包括采用敏感的疾病特异性策略进行系列视野检查，以便能够选择适当的治疗方法并预防或逆转视力丧失。
