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[特发性颅内高压]

[Idiopathic intracranial hypertension].

作者信息

Sergeev A V

机构信息

Sechenov First Moscow State Medical University, Moscow, Russia.

出版信息

Zh Nevrol Psikhiatr Im S S Korsakova. 2016;116(5):93-97. doi: 10.17116/jnevro20161165193-97.

Abstract

Idiopathic intracranial hypertension (IIH) is a condition due to high intracranial pressure in the absence of an intracranial mass lesion, venous thrombosis or brain infection. It mostly occurs in young obese females. Currently, the incidence of IIH in obese women is estimated to be 12 per 100,000 people per year. Epidemiological data demonstrate the increase in incidence in this group: 323 cases per 100,000. IIH can cause visual loss in 1-2% of the patients during the year before the diagnosis and beginning of treatment. IIH treatment is a complex multidisciplinary problem that includes a body-mass reduction program, conservative pharmacological treatment, prolonged ophthalmological study and, if necessary, timely neurosurgical treatment.

摘要

特发性颅内高压(IIH)是一种在没有颅内占位性病变、静脉血栓形成或脑部感染的情况下,因颅内压升高所致的病症。它主要发生在年轻肥胖女性中。目前,据估计肥胖女性中IIH的发病率为每年每10万人中有12例。流行病学数据显示该群体的发病率有所上升:每10万人中有323例。在诊断和开始治疗前的一年中,IIH可导致1%-2%的患者视力丧失。IIH的治疗是一个复杂的多学科问题,包括体重减轻计划、保守的药物治疗、长期的眼科检查,以及在必要时及时进行神经外科治疗。

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