Department of Radiology, George Washington University Hospital, Washington, DC, USA.
AJNR Am J Neuroradiol. 2011 Dec;32(11):1986-93. doi: 10.3174/ajnr.A2404. Epub 2011 Jun 16.
PTC is a clinical entity of uncertain etiology characterized by intracranial hypertension. The syndrome classically manifests with headaches and visual changes in women with obesity. Traditionally, imaging ruled out secondary causes of elevated CSF pressure but now may reveal findings frequently seen in patients with PTC, including the following: flattening of the globe, an empty sella, an enlarged ONS, protrusion and enhancement of the optic nerve head, and increased tortuosity of the optic nerve. Novel imaging methods, including MR venography, have additionally identified sinovenous stenosis as a potential indicator of PTC.
特发性颅内高压症是一种病因不明的临床实体,其特征为颅内压升高。该综合征经典表现为肥胖女性的头痛和视力改变。传统上,影像学检查排除了脑脊液压力升高的继发性原因,但现在可能会发现特发性颅内高压症患者中常见的表现,包括以下内容:眼球变平、空蝶鞍、视神经鞘扩大、视神经头突出和强化,以及视神经迂曲增加。包括磁共振静脉造影在内的新的影像学方法还将窦静脉狭窄确定为特发性颅内高压症的一个潜在指标。