Departments of Ophthalmology (MDG, SAM, JJC, MTB) and Neurology (JJC, MTB), Mayo Clinic College of Medicine, Rochester, Minnesota.
J Neuroophthalmol. 2021 Jun 1;41(2):e223-e224. doi: 10.1097/WNO.0000000000001048.
Idiopathic intracranial hypertension (IIH) is a syndrome associated with increased intracranial pressure without a clear underlying cause that is classically seen in young women. Patients typically present with headache and ocular findings, including disc edema and, less frequently, an abduction deficit. To make a diagnosis of IIH, other than cranial nerve 6 or 7 dysfunction, patients must have a normal neurologic examination. When cranial nerve 7 is affected patients can present with hemifacial spasm. We present the case of a young woman with IIH who had hemifacial spasm as one of the presenting symptoms. Her symptoms resolved once she was treated for IIH with acetazolamide.
特发性颅内高压（IIH）是一种综合征，其特征是颅内压升高而没有明确的潜在原因，这种情况在年轻女性中较为常见。患者通常表现为头痛和眼部症状，包括视盘水肿，以及不太常见的外展神经功能障碍。要诊断 IIH，除了第 6 或第 7 颅神经功能障碍外，患者必须有正常的神经系统检查结果。当第 7 颅神经受到影响时，患者可能会出现面肌痉挛。我们报告了一例 IIH 年轻女性患者，其首发症状之一为面肌痉挛。她的症状在接受乙酰唑胺治疗 IIH 后得到缓解。
