妊娠期特发性颅内高压的多学科管理：病例系列及叙述性综述
Multidisciplinary management of idiopathic intracranial hypertension in pregnancy: case series and narrative review.
作者信息
Alves Sara, Sousa Natacha, Cardoso Lu Ísa, Alves Joana
机构信息
Hospital de Braga, Anesthesiology Department, Braga, Portugal.
Hospital de Braga, Gynecology and Obstetrics Department, Braga, Portugal.
出版信息
Braz J Anesthesiol. 2022 Nov-Dec;72(6):790-794. doi: 10.1016/j.bjane.2021.02.030. Epub 2021 Mar 20.
Abstract
Idiopathic intracranial hypertension (IIH) is a neurological condition characterized by raised intracranial pressure of unknown etiology with normal cerebrospinal fluid (CSF) composition and no brain lesions. It occurs in pregnant patients at approximately the same frequency as in general population, but obstetric and anesthetic management of the pregnancy and labor remains controversial. In this article we provide a multidisciplinary review of the main aspects of IIH in pregnancy including treatment options, mode of delivery and anesthetic techniques. Additionally, we report three cases of pregnant women diagnosed with IIH between 2012 and 2019 in our institution.
摘要
特发性颅内高压（IIH）是一种神经系统疾病，其特征为颅内压升高，病因不明，脑脊液（CSF）成分正常且无脑部病变。它在孕妇中的发生率与普通人群大致相同，但妊娠和分娩的产科及麻醉管理仍存在争议。在本文中，我们对妊娠IIH的主要方面进行了多学科综述，包括治疗选择、分娩方式和麻醉技术。此外，我们报告了2012年至2019年间在我们机构诊断为IIH的三名孕妇病例。
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本文引用的文献
1
Possible association between acetazolamide administration during pregnancy and multiple congenital malformations.
Drug Des Devel Ther. 2016 Apr 15;10:1471-6. doi: 10.2147/DDDT.S99561. eCollection 2016.
2
Use of an Intrathecal Catheter for Analgesia, Anesthesia, and Therapy in an Obstetric Patient with Pseudotumor Cerebri Syndrome.
A A Case Rep. 2016 Mar 15;6(6):160-2. doi: 10.1213/XAA.0000000000000279.
3
Anesthetic management of labor and delivery in patients with elevated intracranial pressure.
Int J Obstet Anesth. 2015 May;24(2):147-60. doi: 10.1016/j.ijoa.2015.01.004. Epub 2015 Jan 19.
4
An intrathecal catheter in a pregnant patient with idiopathic intracranial hypertension: analgesia, monitor and therapy?
Int J Obstet Anesth. 2014 May;23(2):175-8. doi: 10.1016/j.ijoa.2013.10.007. Epub 2013 Nov 1.
5
Neuraxial anesthesia in patients with intracranial hypertension or cerebrospinal fluid shunting systems: what should the anesthetist know?
Minerva Anestesiol. 2014 Sep;80(9):1030-45. Epub 2013 Nov 26.
6
Anaesthetic management of a case of idiopathic intracranial hypertension.
Indian J Anaesth. 2013 Jul;57(4):401-3. doi: 10.4103/0019-5049.118570.
7
Revised diagnostic criteria for the pseudotumor cerebri syndrome in adults and children.
Neurology. 2013 Sep 24;81(13):1159-65. doi: 10.1212/WNL.0b013e3182a55f17. Epub 2013 Aug 21.
8
Neuraxial anesthesia in parturients with intracranial pathology: a comprehensive review and reassessment of risk.
Anesthesiology. 2013 Sep;119(3):703-18. doi: 10.1097/ALN.0b013e31829374c2.
9
Idiopathic intracranial hypertension and pregnancy.
Clin Obstet Gynecol. 2013 Jun;56(2):389-96. doi: 10.1097/GRF.0b013e31828f2701.
10
[Idiopathic intracranial hypertension: a caesarean with epidural anaesthesia after bringing the cerebrospinal fluid pressure back to normal].
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