Round R, Keane J R
Department of Neurology, Los Angeles County-University of Southern California Medical Center.
Neurology. 1988 Sep;38(9):1461-4. doi: 10.1212/wnl.38.9.1461.
Of 101 patients with benign intracranial hypertension not related to vasculitis, neck stiffness occurred in 31, tinnitus in 27, distal extremity paresthesias in 22, joint pains in 13, low back pain in 5, and gait "ataxia" in 4. Symptoms resolved promptly upon lowering the intracranial pressure by lumbar puncture, and were probably directly caused by intracranial hypertension. Awareness of these "minor" symptoms of increased intracranial pressure can facilitate diagnosis and management.
在101例与血管炎无关的良性颅内高压患者中,31例出现颈部僵硬,27例出现耳鸣,22例出现远端肢体感觉异常,13例出现关节疼痛,5例出现腰痛,4例出现步态“共济失调”。通过腰椎穿刺降低颅内压后症状迅速缓解,这些症状可能直接由颅内高压引起。认识到这些颅内压升高的“轻微”症状有助于诊断和治疗。