Brosh Koby, Strassman Israel
Shaarey Zedek Medical Center, Department of Ophthalmology, Jerusalem, Israel.
Semin Ophthalmol. 2013 Jul;28(4):242-3. doi: 10.3109/08820538.2013.768677. Epub 2013 Apr 29.
To report a case of a 25-year-old girl with pseudotumor cerebri who presented with unilateral swollen optic disk.
A 25-year-old obese patient admitted to our ophthalmic department complaining of headaches, tinnitus, and transient visual obscurations for the last three months. Upon ophthalmic examination, the left optic nerve was swollen with a few hemorrhages compared to the normal-appearing right optic nerve. Following lumbar puncture with opening pressure of 350 mmHg, a diagnosis of pseudotumor cerebri was made and treatment with acetazolamide was started.
Three months later there were no episodes of visual obscurations and headache improved.
Although rare, unilateral swollen disk could be a sign of unilateral papilledema due to increased intracranial pressure.
报告一例25岁患有假性脑瘤且出现单侧视盘肿胀的女孩。
一名25岁肥胖患者因过去三个月出现头痛、耳鸣和短暂性视力模糊而入住我们眼科。眼科检查时，与外观正常的右侧视神经相比，左侧视神经肿胀并有少量出血。腰椎穿刺测得初压为350 mmHg后，诊断为假性脑瘤并开始用乙酰唑胺治疗。
三个月后未再出现视力模糊发作，头痛有所改善。
尽管罕见，但单侧视盘肿胀可能是颅内压升高导致单侧视乳头水肿的一个迹象。
