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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.

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。

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