Chern Joshua J, Tubbs R Shane, Gordon Amber S, Donnithorne Katherine J, Oakes W Jerry
Department of Pediatric Neurosurgery, Children's Hospital, Birmingham, AL, USA.
Childs Nerv Syst. 2012 Apr;28(4):575-8. doi: 10.1007/s00381-011-1657-9. Epub 2012 Jan 19.
The care of patients with pseudotumor cerebri (idiopathic intracranial hypertension) involves ophthalmologists, neurologists and neurosurgeons. Its clinical characteristics in the pediatric population are distinct from those in adult patients.
Fifty-nine patients diagnosed with pseudotumor cerebri were identified from the neurosurgery and neurology databases at Children's Hospital, Birmingham, AL, USA. Clinical data were collected from the ophthalmology, neurology and neurosurgery departments.
The average age of patients at diagnosis was 11.4 years (range 3-17). The average opening pressure of lumbar puncture (LP) was 37 cm of water. Most of the patients responded well to therapeutic LPs and medical management. Neurosurgical interventions included intracranial pressure monitoring and shunt insertion in nine patients. In three patients who presented with acute visual decline, two recovered and one remains legally blind.
The care of patients with pseudotumor cerebri requires a multiple-disciplinary approach. Neurosurgical interventions are sometimes needed for diagnostic and treatment purpose. Prompt and accurate communication among specialists is necessary to ensure timely treatment and optimal outcomes.
假性脑瘤（特发性颅内高压）患者的护理涉及眼科医生、神经科医生和神经外科医生。其在儿科人群中的临床特征与成年患者不同。
从美国阿拉巴马州伯明翰儿童医院的神经外科和神经科数据库中识别出59例诊断为假性脑瘤的患者。临床数据收集自眼科、神经科和神经外科科室。
患者诊断时的平均年龄为11.4岁（范围3 - 17岁）。腰椎穿刺（LP）的平均初压为37厘米水柱。大多数患者对治疗性腰椎穿刺和药物治疗反应良好。神经外科干预包括9例患者进行颅内压监测和分流管置入。在3例出现急性视力下降的患者中，2例恢复，1例仍为法定失明。
假性脑瘤患者的护理需要多学科方法。有时需要进行神经外科干预以用于诊断和治疗目的。专科医生之间及时、准确的沟通对于确保及时治疗和最佳治疗效果是必要的。
