伪装成特发性颅内高压的急性HIV感染：一例报告及文献综述

Alqahtani Awyshah M, Alsaaran Zaid F, AlOtaibi Naif H, Barry Mazin, AlJerian Khaldoon, Alanazy Mohammed H, Muayqil Taim A

Division of Neurology, Department of Medicine, College of Medicine, King Saud University, Riyadh, Saudi Arabia.

Division of Infectious Diseases, Department of Medicine, King Saud University Medical City, Riyadh, Saudi Arabia.

Case Rep Neurol. 2020 Feb 5;12(1):56-62. doi: 10.1159/000505721. eCollection 2020 Jan-Apr.

We describe a previously healthy 21-year-old man who presented acutely with signs and symptoms of raised intracranial pressure (ICP). Lumbar puncture yielded an elevated opening pressure and an acellular CSF analysis. Radiological images showed bilateral flattening of the posterior eye globes and an empty sella turcica. His serum HIV antigen/antibody was reactive. We provide a review of published cases that have been labeled as idiopathic intracranial hypertension (IIH) in HIV-infected patients, addressing the appropriateness of labeling such cases as truly idiopathic. We also discuss the importance of a thorough clinical evaluation of raised ICP in those who do not fulfil the typical IIH demographic.

我们描述了一名此前健康的21岁男性，他急性出现颅内压（ICP）升高的体征和症状。腰椎穿刺显示初压升高，脑脊液分析无细胞。影像学图像显示双侧眼球后部扁平及蝶鞍空泡。他的血清HIV抗原/抗体呈阳性反应。我们回顾了已发表的在HIV感染患者中被标记为特发性颅内高压（IIH）的病例，探讨将此类病例标记为真正特发性的合理性。我们还讨论了对那些不符合典型IIH人群特征的ICP升高患者进行全面临床评估的重要性。