Katz B, Van Patten P, Rothrock J F, Katzman R
Department of Ophthalmology, University of California, San Diego, La Jolla 92093.
Arch Neurol. 1988 Jan;45(1):45-7. doi: 10.1001/archneur.1988.00520250051020.
A 42-year-old woman presented with a history of headache. Results of funduscopic examination revealed elevated disc margins and bilateral optic nerve head drusen. Lumbar puncture, head computed tomography, and fluorescein fundus angiography results were consistent with the diagnosis of pseudotumor cerebri and coexistent disc drusen. Visual loss was demonstrated by formal perimetry. Headaches were unresponsive to a medical regimen that included prednisone, glycerol, acetazolamide, furosemide, and repeated lumbar punctures. A lumbar peritoneal shunt was performed, with immediate resolution of headache. Optic disc drusen can be associated with pseudotumor cerebri and can lead to diagnostic confusion.
一名42岁女性因头痛前来就诊。眼底检查结果显示视盘边缘隆起及双侧视神经乳头玻璃疣。腰椎穿刺、头部计算机断层扫描及荧光素眼底血管造影结果均符合假性脑瘤合并视盘玻璃疣的诊断。通过正规视野检查证实存在视力丧失。包括泼尼松、甘油、乙酰唑胺、呋塞米及反复腰椎穿刺在内的药物治疗方案对头痛无效。遂行腰大池-腹腔分流术，术后头痛立即缓解。视盘玻璃疣可与假性脑瘤相关，并可导致诊断混淆。
