Department of Ophthalmology and Visual Sciences, University of Iowa, Iowa City, IA 52242, USA; Department of Neurology, University of Iowa, Iowa City, IA 52242, USA.
University of Lausanne, Hôpital Ophtalmique Jules Gonin, Avenue de France 15, Lausanne 1004, Switzerland.
Neurol Clin. 2021 Feb;39(1):147-161. doi: 10.1016/j.ncl.2020.09.008. Epub 2020 Nov 7.
Idiopathic intracranial hypertension is a syndrome of increased intracranial pressure of unknown cause that most often occurs in women of childbearing age. Most patients are overweight or obese with a history of recent weight gain. Following a brief review of the symptoms and signs, we discuss the approach to assessment and monitoring of this condition. We then present a practical approach to treatment. Because patients frequently struggle with weight loss and can also have refractory headaches and coexisting psychosocial issues, we emphasize the importance of a multidisciplinary approach to the management of this common condition.
特发性颅内高压是一种不明原因的颅内压增高综合征,最常发生在育龄期妇女。大多数患者超重或肥胖,并有近期体重增加的病史。在简要回顾了症状和体征后,我们讨论了这种疾病的评估和监测方法。然后,我们提出了一种实用的治疗方法。由于患者经常在减肥方面遇到困难,并且可能还伴有难治性头痛和并存的社会心理问题,因此我们强调了对这种常见疾病进行多学科管理的重要性。