Williams A, Morgan Jdt, Johnson Ab, Bates Se, Pople I, Norton Sa
North Bristol NHS Trust, Bristol, UK.
J Surg Case Rep. 2010 Aug 1;2010(6):7. doi: 10.1093/jscr/2010.6.7.
The cause of pseudotumor cerebri (PTC) is poorly understood although there is strong evidence that obesity plays a role in its development. This report describes a patient with medically intractable PTC, who had continued symptoms despite undergoing a ventriculo-peritoneal (VP) shunt. Following significant weight loss, as a result of laparoscopic gastric banding, she has been symptom free and off all medications for 11 months allowing VP shunt removal. Bariatric surgery should be strongly considered in morbidly obese patients with PTC.
尽管有充分证据表明肥胖在假性脑瘤（PTC）的发病过程中起作用，但PTC的病因仍知之甚少。本报告描述了一名患有药物难治性PTC的患者，尽管接受了脑室-腹腔（VP）分流术，但症状仍持续存在。在因腹腔镜胃束带术导致体重显著减轻后，她已11个月无症状且停用了所有药物，VP分流管也已拔除。对于患有PTC的病态肥胖患者，应强烈考虑进行减肥手术。
