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[良性颅内高压综合征中视盘充血的症状]

[The symptom of congestive optic disks in the benign intracranial hypertension syndrome].

作者信息

Gusev V A, Deev A S, Turevskiĭ I I

出版信息

Oftalmol Zh. 1989(3):167-9.

PMID:2797679
Abstract

Observations over 28 patients with benign intracranial hypertension, aged from 15 to 50 years, of them 25 women and 3 men, have shown that among possible etiologic factors of benign intracranial hypertension there appeared to be pregnancy in 19 women, respiratory infection--in 3 patients, climacterium--in 2, hypothyrosis--in 2, galactorrhea-amenorrhea--in 1, mild craniocerebral trauma--in 1; 75% of patients had excessive body mass. Among main symptoms of benign intracranial hypertension there were head pains (100%), congestive optic discs (100%), rise of csf pressure (87.5%), nausea and vomiting (80%). In a part of patients there was obnubilation (7), nystagmus (4), damage of the abducent nerve (4), retro-orbital pains (3), transient disturbances of visual functions (fall of visual acuity in 5, defects of visual field in 5). In I woman amaurosis in both eyes remained. The duration of the disease varied from 2 months to 2 years. In 3 women there were recurrences of benign intracranial hypertension.

摘要

对28例年龄在15至50岁之间的良性颅内高压患者进行了观察,其中25名女性,3名男性。结果显示,在良性颅内高压可能的病因中,19名女性为妊娠,3例为呼吸道感染,2例为更年期,2例为甲状腺功能减退,1例为溢乳-闭经,1例为轻度颅脑外伤;75%的患者体重超标。良性颅内高压的主要症状有头痛(100%)、视盘充血(100%)、脑脊液压力升高(87.5%)、恶心和呕吐(80%)。部分患者出现意识模糊(7例)、眼球震颤(4例)、展神经损伤(4例)、眶后疼痛(3例)、视觉功能短暂障碍(视力下降5例,视野缺损5例)。1名女性双眼失明。病程从2个月到2年不等。3名女性出现良性颅内高压复发。

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