Iencean Stefan Mircea, Poeata Ion, Iencean Andrei Stefan, Tascu Alexandru
Neurosurgery Department, GrT Popa University of Medicine and Pharmacy Iasi, Romania; Neurosurgery Department, Prof N. Oblu Emergency Clinical Hospital Iasi, Romania.
Neurosurgery Department, GrT Popa University of Medicine and Pharmacy Iasi, Romania; Neurosurgery Department, Prof N. Oblu Emergency Clinical Hospital Iasi, Romania.
Kaohsiung J Med Sci. 2015 Mar;31(3):156-62. doi: 10.1016/j.kjms.2014.12.007. Epub 2015 Jan 19.
This study presents the characteristics that distinguish between idiopathic intracranial hypertension (ICH) and ICH caused by intracranial vascular damage. Twenty-one patients with ICH were included in this study. The analysis of the symptomatology correlated with the values of intracranial pressure, and the imaging findings revealed significant differences between these two types of ICH. ICH caused by intracranial venous vascular damage is named vascular ICH. Vascular ICH has a known etiology, such as cerebral vascular illness, and a relatively rapid increase in intracranial pressure of approximately 21 cmH2O and imaging findings show characteristic images of thrombosis or stenosis of the intracranial venous system, while all brain images (computed tomography, magnetic resonance imaging, angio-magnetic resonance imaging) are normal in idiopathic ICH. The treatment of vascular ICH is etiologic, pathogenic, and symptomatic, but that of idiopathic ICH is only symptomatic.
本研究呈现了区分特发性颅内高压（ICH）和由颅内血管损伤引起的ICH的特征。本研究纳入了21例ICH患者。对症状学与颅内压值的相关性分析以及影像学检查结果显示，这两种类型的ICH之间存在显著差异。由颅内静脉血管损伤引起的ICH被称为血管性ICH。血管性ICH有已知病因，如脑血管疾病，颅内压相对快速升高约21 cmH₂O，影像学检查结果显示颅内静脉系统血栓形成或狭窄的特征性影像，而特发性ICH的所有脑部影像（计算机断层扫描、磁共振成像、血管磁共振成像）均正常。血管性ICH的治疗是病因性、病原性和对症性的，而特发性ICH的治疗仅为对症治疗。
