Corns Robert, Nayeb Lamia, Martin Andrew
Department of Neurosurgery, St George's Hospital, London, UK.
BMJ Case Rep. 2012 Aug 18;2012:bcr2012006740. doi: 10.1136/bcr-2012-006740.
A previously well 13-year-old girl presented with a 4-month history of progressively worsening headache and visual disturbance. At fourth presentation, examination showed bilateral papilloedema and a left homonymous hemianopia. CT and MRI scans revealed a tumour obstructing the third ventricle with consequent hydrocephalus. Following uncomplicated endoscopic surgery, both headache and visual function improved. Several features of the history were highly suggestive of raised intracranial pressure and were overlooked initially.
一名此前健康的13岁女孩出现了4个月来逐渐加重的头痛和视力障碍。在第四次就诊时,检查发现双侧视乳头水肿和左侧同向性偏盲。CT和MRI扫描显示一个肿瘤阻塞了第三脑室,继而导致脑积水。在进行了无并发症的内镜手术后,头痛和视力功能均有所改善。病史中的几个特征强烈提示颅内压升高,但最初被忽视了。