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本文引用的文献

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Possible association between acetazolamide administration during pregnancy and multiple congenital malformations.孕期使用乙酰唑胺与多种先天性畸形之间可能存在的关联。
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Use of an Intrathecal Catheter for Analgesia, Anesthesia, and Therapy in an Obstetric Patient with Pseudotumor Cerebri Syndrome.在一名患有假性脑瘤综合征的产科患者中使用鞘内导管进行镇痛、麻醉和治疗。
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Anesthetic management of labor and delivery in patients with elevated intracranial pressure.颅内压升高患者分娩期的麻醉管理
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An intrathecal catheter in a pregnant patient with idiopathic intracranial hypertension: analgesia, monitor and therapy?一名患有特发性颅内高压的孕妇体内的鞘内导管:镇痛、监测与治疗?
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Neuraxial anesthesia in patients with intracranial hypertension or cerebrospinal fluid shunting systems: what should the anesthetist know?
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Anaesthetic management of a case of idiopathic intracranial hypertension.一例特发性颅内高压患者的麻醉管理
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Revised diagnostic criteria for the pseudotumor cerebri syndrome in adults and children.成人和儿童颅内假瘤综合征的修订诊断标准。
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Idiopathic intracranial hypertension and pregnancy.特发性颅内高压与妊娠
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[Idiopathic intracranial hypertension: a caesarean with epidural anaesthesia after bringing the cerebrospinal fluid pressure back to normal].[特发性颅内高压:脑脊液压力恢复正常后行硬膜外麻醉剖宫产术]
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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.

DOI:10.1016/j.bjane.2021.02.030
PMID:33757747
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9659994/
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。