Kwak Myoung, Delk Gerald T, Stead Trilok, Ganti Latha
Emergency Medicine, Coliseum Medical Centers, Macon, USA.
Emergency Medicine, Trinity Preparatory School, Winter Park, USA.
Cureus. 2021 Feb 7;13(2):e13198. doi: 10.7759/cureus.13198.
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.
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。