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伴有失明的假性脑瘤

Pseudotumor Cerebri with Blindness.

作者信息

Kwak Myoung, Delk Gerald T, Stead Trilok, Ganti Latha

机构信息

Emergency Medicine, Coliseum Medical Centers, Macon, USA.

Emergency Medicine, Trinity Preparatory School, Winter Park, USA.

出版信息

Cureus. 2021 Feb 7;13(2):e13198. doi: 10.7759/cureus.13198.

DOI:10.7759/cureus.13198
PMID:33717740
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7942973/
Abstract

Pseudotumor cerebri, or idiopathic intracranial hypertension (IIH), is a syndrome of elevated intracranial pressure (ICP) of unknown etiology that occurs predominantly in obese women of childbearing age. Pseudotumor cerebri literally means "false brain tumor". It is a "diagnosis of exclusion" therefore a complete work-up to rule out life-threatening causes for increased ICP must be performed through a comprehensive history, complete physical examination, diagnostic imaging, and cerebrospinal fluid (CSF) analysis before the diagnosis can be made. The authors present the case of a young woman with headache, and near blindness due to pseudotumor cerebri. The presentation, diagnosis, and treatment options are discussed.

摘要

假性脑瘤,即特发性颅内高压(IIH),是一种病因不明的颅内压(ICP)升高综合征,主要发生在育龄肥胖女性中。假性脑瘤字面意思是“假脑瘤”。它是一种“排除性诊断”,因此在做出诊断之前,必须通过全面的病史、完整的体格检查、诊断性影像学检查和脑脊液(CSF)分析进行全面检查,以排除导致ICP升高的危及生命的原因。作者介绍了一名因假性脑瘤出现头痛和近乎失明的年轻女性病例。讨论了其临床表现、诊断和治疗选择。

相似文献

1
Pseudotumor Cerebri with Blindness.伴有失明的假性脑瘤
Cureus. 2021 Feb 7;13(2):e13198. doi: 10.7759/cureus.13198.
2
Idiopathic intracranial hypertension: pseudotumor cerebri.特发性颅内高压:假性脑瘤。
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MRI-findings in idiopathic intracranial hypertension (Pseudotumor cerebri).特发性颅内高压(假性脑瘤)的 MRI 表现。
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An Up to Date Review of Pseudotumor Cerebri Syndrome.颅内假瘤综合征的最新研究综述。
Curr Neurol Neurosci Rep. 2018 May 2;18(6):33. doi: 10.1007/s11910-018-0839-1.
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Idiopathic intracranial hypertension: pseudotumor cerebri.特发性颅内高压:假性脑瘤
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Comparative observational study on the clinical presentation, intracranial volume measurements, and intracranial pressure scores in patients with either Chiari malformation Type I or idiopathic intracranial hypertension.比较观察性研究,评估 Chiari 畸形 I 型或特发性颅内高压患者的临床表现、颅内容积测量和颅内压评分。
J Neurosurg. 2017 Apr;126(4):1312-1322. doi: 10.3171/2016.4.JNS152862. Epub 2016 Jun 24.
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Idiopathic Intracranial Hypertension: A Comprehensive Overview.特发性颅内高压:全面概述。
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Idiopathic intracranial hypertension presenting with isolated unilateral facial nerve palsy: a case report.以孤立性单侧面神经麻痹为表现的特发性颅内高压:一例报告
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Phenotyping non-idiopathic pseudotumor cerebri syndrome - A prospective cohort study.表型非特发性假性脑瘤综合征 - 一项前瞻性队列研究。
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Headache in an Obese Adolescent Male: A Nonclassical Presentation of an Uncommon Disease.一名肥胖青少年男性的头痛:一种罕见疾病的非典型表现
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本文引用的文献

1
An update on idiopathic intracranial hypertension in adults: a look at pathophysiology, diagnostic approach and management.成人特发性颅内高压的最新进展:探讨病理生理学、诊断方法和治疗。
J Neurol. 2021 Sep;268(9):3249-3268. doi: 10.1007/s00415-020-09943-9. Epub 2020 May 27.
2
A systematic review of surgical treatments of idiopathic intracranial hypertension (IIH).特发性颅内高压(IIH)的手术治疗的系统评价。
Neurosurg Rev. 2021 Apr;44(2):773-792. doi: 10.1007/s10143-020-01288-1. Epub 2020 Apr 25.
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The incidence of idiopathic intracranial hypertension in Scotland: a SOSU study.苏格兰特发性颅内高压的发病率:一项 SOSU 研究。
Eye (Lond). 2019 Oct;33(10):1570-1576. doi: 10.1038/s41433-019-0450-y. Epub 2019 Apr 30.
4
Obesity and Weight Loss in Idiopathic Intracranial Hypertension: A Narrative Review.特发性颅内高压中的肥胖与体重减轻:一项叙述性综述
J Neuroophthalmol. 2017 Jun;37(2):197-205. doi: 10.1097/WNO.0000000000000448.
5
Idiopathic intracranial hypertension (pseudotumor cerebri): recognition, treatment, and ongoing management.特发性颅内高压(假性脑瘤):识别、治疗和持续管理。
Curr Treat Options Neurol. 2013 Feb;15(1):1-12. doi: 10.1007/s11940-012-0207-4.
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Sudden re-opening of collapsed transverse sinuses and longstanding clinical remission after a single lumbar puncture in a case of idiopathic intracranial hypertension. Pathogenetic implications.
Neurol Sci. 2005 Feb;25(6):342-4. doi: 10.1007/s10072-004-0368-3.
7
Cerebrospinal fluid shunt placement for pseudotumor cerebri-associated intractable headache: predictors of treatment response and an analysis of long-term outcomes.用于假性脑瘤相关性顽固性头痛的脑脊液分流术:治疗反应的预测因素及长期结果分析
J Neurosurg. 2004 Oct;101(4):627-32. doi: 10.3171/jns.2004.101.4.0627.
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Ventriculoperitoneal shunting for idiopathic intracranial hypertension.用于特发性颅内高压的脑室腹腔分流术
Neurology. 2004 Oct 12;63(7):1314-6. doi: 10.1212/01.wnl.0000140699.43019.48.
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Modified optic nerve sheath decompression provides long-term visual improvement for pseudotumor cerebri.改良视神经鞘减压术可为假性脑瘤提供长期的视力改善。
Arch Ophthalmol. 1988 Oct;106(10):1384-90. doi: 10.1001/archopht.1988.01060140548021.