Bakola Eleni, Alonistiotis Dimitrios, Arvaniti Chryssa, Salakou Stavroula, Nana Niki, Foska Aikaterini, Kotsali-Peteinelli Vasiliki, Voumvourakis Konstantinos, Tsivgoulis Georgios
Second Department of Neurology, National and Kapodistrian University of Athens, School of Medicine, "Attikon" University Hospital, Rimini 1, Chaidari, 12462, Athens, Greece.
Second Department of Ophthalmology, National and Kapodistrian University of Athens, School of Medicine, "Attikon" University Hospital, Athens, Greece.
Neurol Res Pract. 2021 Jun 14;3(1):33. doi: 10.1186/s42466-021-00133-0.
Optic nerve ultrasound is an established routine supplementary diagnostic tool for idiopathic intracranial pressure but it can also be helpful in avoiding misdiagnoses. We describe a case of an obese 15- year-old girl with persistent headaches, fundoscopic findings suggesting papilledema, normal brain imaging who underwent two lumbar punctures with unremarkable cerebrospinal fluid findings before ultrasound revealed optic disc drusen as the cause of the optic disc elevation.
视神经超声是诊断特发性颅内压增高的一种常规辅助诊断手段,也有助于避免误诊。我们报告一例肥胖的15岁女孩,持续头痛,眼底检查提示视乳头水肿,脑部影像学检查正常,在超声检查发现视盘玻璃疣是视盘隆起的病因之前,该患者接受了两次腰椎穿刺,脑脊液检查结果无异常。