特发性颅内高压及其相关头痛的诊断与管理
The diagnosis and management of idiopathic intracranial hypertension and the associated headache.
作者信息
Jensen Rigmor Højland, Radojicic Aleksandra, Yri Hanne
机构信息
Danish Headache Center, Department of Neurology, Rigshospitalet-Glostrup, University of Copenhagen, Denmark.
Neurology Clinic, Clinical Center of Serbia, Belgrade, Serbia.
出版信息
Ther Adv Neurol Disord. 2016 Jul;9(4):317-26. doi: 10.1177/1756285616635987. Epub 2016 Mar 21.
Abstract
Idiopathic intracranial hypertension (IIH) is a challenging disorder with a rapid increasing incidence due to a close relation to obesity. The onset of symptoms is often insidious and patients may see many different specialists before the IIH diagnosis is settled. A summary of diagnosis, symptoms, headache characteristics and course, as well as existing evidence of treatment strategies is presented and strategies for investigations and management are proposed.
摘要
特发性颅内高压（IIH）是一种具有挑战性的疾病，由于与肥胖密切相关，其发病率正在迅速上升。症状的发作往往很隐匿，患者在IIH诊断确定之前可能会看许多不同的专科医生。本文总结了诊断、症状、头痛特点及病程，以及现有治疗策略的证据，并提出了检查和管理策略。
相似文献
1
The diagnosis and management of idiopathic intracranial hypertension and the associated headache.特发性颅内高压及其相关头痛的诊断与管理
Ther Adv Neurol Disord. 2016 Jul;9(4):317-26. doi: 10.1177/1756285616635987. Epub 2016 Mar 21.
2
Should topiramate be initial therapy in the management of idiopathic intracranial hypertension?: A literature review.是否应将托吡酯作为特发性颅内高压治疗的初始治疗方法？：文献综述。
Medicine (Baltimore). 2023 Oct 20;102(42):e35545. doi: 10.1097/MD.0000000000035545.
3
Update on Idiopathic Intracranial Hypertension Management.特发性颅内高压管理的最新进展。
Arq Neuropsiquiatr. 2022 May;80(5 Suppl 1):227-231. doi: 10.1590/0004-282X-ANP-2022-S110.
4
Idiopathic intracranial hypertension presenting with isolated unilateral facial nerve palsy: a case report.以孤立性单侧面神经麻痹为表现的特发性颅内高压：一例报告
J Med Case Rep. 2019 Apr 19;13(1):94. doi: 10.1186/s13256-019-2060-5.
5
Diagnosis and treatment of idiopathic intracranial hypertension.特发性颅内高压的诊断与治疗。
Cephalalgia. 2021 Apr;41(4):472-478. doi: 10.1177/0333102421997093. Epub 2021 Feb 25.
6
Headache attributed to idiopathic intracranial hypertension and persistent post-idiopathic intracranial hypertension headache: A narrative review.特发性颅内高压性头痛和持续性特发性颅内高压后头痛：一篇叙述性综述。
Headache. 2021 Jun;61(6):808-816. doi: 10.1111/head.14125. Epub 2021 Jun 9.
7
Headaches in Idiopathic Intracranial Hypertension.特发性颅内高压性头痛。
J Neuroophthalmol. 2019 Mar;39(1):82-93. doi: 10.1097/WNO.0000000000000777.
8
Idiopathic Intracranial Hypertension: An Unusual Cause of Headache in a Patient With Sickle Cell Disease.特发性颅内高压：镰状细胞病患者头痛的一个不常见病因。
J Investig Med High Impact Case Rep. 2022 Jan-Dec;10:23247096221140248. doi: 10.1177/23247096221140248.
9
Depression and generalized anxiety symptoms in idiopathic intracranial hypertension: Prevalence, under-reporting and effect on visual outcome.特发性颅内高压患者的抑郁和广泛性焦虑症状：患病率、漏报率及其对视功能结局的影响。
J Neurol Sci. 2022 Mar 15;434:120120. doi: 10.1016/j.jns.2021.120120. Epub 2021 Dec 28.
10
Case series of six patients diagnosed and managed for idiopathic intracranial hypertension at a tertiary institution eye centre.在一家三级医疗机构眼科中心对6例特发性颅内高压患者进行诊断和治疗的病例系列。
Ghana Med J. 2019 Mar;53(1):79-87. doi: 10.4314/gmj.v53i1.12.
引用本文的文献
1
Modulation of cerebrospinal fluid secretion facilitated by serotonergic and noradrenergic receptors in the rat choroid plexus.5-羟色胺能和去甲肾上腺素能受体对大鼠脉络丛脑脊液分泌的调节作用
Fluids Barriers CNS. 2025 Jun 2;22(1):54. doi: 10.1186/s12987-025-00666-5.
2
Idiopathic Intracranial Hypertension.特发性颅内高压
Arch Iran Med. 2025 Mar 1;28(3):174-176. doi: 10.34172/aim.33110.
3
The challenge of diagnosing intracranial pressure elevations as an otolaryngologist.作为一名耳鼻喉科医生，诊断颅内压升高所面临的挑战。
Eur Arch Otorhinolaryngol. 2025 Mar 28. doi: 10.1007/s00405-025-09333-9.
4
Elevated systemic venous pressures as a possible pathology in prepubertal pediatric idiopathic intracranial hypertension.青春期前儿童特发性颅内高压中可能存在系统性静脉压升高的病理改变。
Childs Nerv Syst. 2024 Dec;40(12):4203-4209. doi: 10.1007/s00381-024-06594-3. Epub 2024 Sep 10.
5
Vaulting further: cranial vault expansion for craniocerebral disproportion without primary craniosynostosis.进一步穹窿成形术：无原发性颅缝早闭的颅腔过大-颅面不称
Childs Nerv Syst. 2024 Dec;40(12):3955-3962. doi: 10.1007/s00381-024-06517-2. Epub 2024 Jun 26.
6
Navigating the Enigma: A Comprehensive Review of Idiopathic Intracranial Hypertension.解读谜团：特发性颅内高压的全面综述
Cureus. 2024 Mar 16;16(3):e56256. doi: 10.7759/cureus.56256. eCollection 2024 Mar.
7
Neuro-ophthalmic features of patients with spontaneous cerebrospinal fluid leaks.自发性脑脊液漏患者的神经眼科特征
Med Hypothesis Discov Innov Ophthalmol. 2023 Dec 31;12(3):106-114. doi: 10.51329/mehdiophthal1476. eCollection 2023 Fall.
8
Normative body mass-adjusted reference ranges of magnetic resonance imaging signs commonly used in diagnosing idiopathic intracranial hypertension in a healthy standard population.健康标准人群中用于诊断特发性颅内高压的磁共振成像征象的规范体重校正参考范围。
Sci Rep. 2024 Feb 24;14(1):4492. doi: 10.1038/s41598-024-54975-0.
9
Optic Nerve Head and Retinal Changes in Idiopathic Intracranial Hypertension: Correlation with Short-Term Cerebrospinal Fluid Pressure Monitoring.特发性颅内高压的视神经乳头和视网膜改变：与短期脑脊液压力监测的相关性
J Clin Med. 2024 Jan 18;13(2):562. doi: 10.3390/jcm13020562.
10
Human cerebrospinal fluid affects chemoradiotherapy sensitivities in tumor cells from patients with glioblastoma.人脑脊液影响胶质母细胞瘤患者肿瘤细胞的放化疗敏感性。
Sci Adv. 2023 Oct 27;9(43):eadf1332. doi: 10.1126/sciadv.adf1332. Epub 2023 Oct 25.
本文引用的文献
1
Visual Outcomes from Shunting for Idiopathic Intracranial Hypertension.特发性颅内高压分流术的视觉预后
Neuroophthalmology. 2014 Nov 12;38(6):310-319. doi: 10.3109/01658107.2014.956183. eCollection 2014.
2
Headache determines quality of life in idiopathic intracranial hypertension.头痛决定特发性颅内高压患者的生活质量。
J Headache Pain. 2015;16:521. doi: 10.1186/s10194-015-0521-9. Epub 2015 May 15.
3
Evidence of multidomain mild cognitive impairment in idiopathic intracranial hypertension.特发性颅内高压中多领域轻度认知障碍的证据。
J Neuroophthalmol. 2015 Mar;35(1):26-30. doi: 10.1097/WNO.0000000000000199.
4
Idiopathic intracranial hypertension: Clinical nosography and field-testing of the ICHD diagnostic criteria. A case-control study.特发性颅内高压：国际头痛疾病分类（ICHD）诊断标准的临床分类学与现场测试。一项病例对照研究。
Cephalalgia. 2015 Jun;35(7):553-62. doi: 10.1177/0333102414550109. Epub 2014 Sep 16.
5
The course of headache in idiopathic intracranial hypertension: a 12-month prospective follow-up study.特发性颅内高压的头痛病程：一项为期12个月的前瞻性随访研究。
Eur J Neurol. 2014 Dec;21(12):1458-64. doi: 10.1111/ene.12512. Epub 2014 Jul 29.
6
Visual outcomes and headache following interventions for idiopathic intracranial hypertension.特发性颅内高压干预后的视力预后和头痛情况
J Clin Neurosci. 2014 Oct;21(10):1670-8. doi: 10.1016/j.jocn.2014.02.025. Epub 2014 Jun 25.
7
A practical approach to, diagnosis, assessment and management of idiopathic intracranial hypertension.特发性颅内高压的诊断、评估及管理实用方法
Pract Neurol. 2014 Dec;14(6):380-90. doi: 10.1136/practneurol-2014-000821. Epub 2014 May 8.
8
Intracranial pressure in unresponsive chronic migraine.无反应性慢性偏头痛的颅内压
J Neurol. 2014 Jul;261(7):1365-73. doi: 10.1007/s00415-014-7355-2. Epub 2014 Apr 30.
9
Effect of acetazolamide on visual function in patients with idiopathic intracranial hypertension and mild visual loss: the idiopathic intracranial hypertension treatment trial.乙酰唑胺对特发性颅内高压伴轻度视力丧失患者视觉功能的影响：特发性颅内高压治疗试验。
JAMA. 2014;311(16):1641-51. doi: 10.1001/jama.2014.3312.
10
The idiopathic intracranial hypertension treatment trial: clinical profile at baseline.特发性颅内高压治疗试验：基线时的临床特征。
JAMA Neurol. 2014 Jun;71(6):693-701. doi: 10.1001/jamaneurol.2014.133.
Zotero 插件