Haefliger Emmanuel, Medlin Friedrich, Walker Marion
Service de médecine interne, HFR Fribourg - Hôpital cantonal, 1708 Fribourg.
Service de neurologie, HFR Fribourg - Hôpital cantonal, 1708 Fribourg.
Rev Med Suisse. 2021 Sep 8;17(749):1499-1505.
Idiopathic intracranial hypertension (IIH) is defined by the presence of headache with or without associated visual impairment, elevated cerebrospinal fluid pressure, and exclusion of a secondary etiology. The increased risk of severe visual impairment prompts rapid recognition and initial management by general practitioners, even though the incidence of this condition is low. Based on a case report, the aim of this review is to describe the typical clinical presentation of IIH, to discuss the underlying pathophysiology as well as work-up and management.
特发性颅内高压(IIH)的定义为伴有或不伴有相关视力损害的头痛、脑脊液压力升高,且排除继发性病因。尽管这种疾病的发病率较低,但严重视力损害风险的增加促使全科医生迅速识别并进行初始治疗。基于一份病例报告,本综述的目的是描述IIH的典型临床表现,讨论其潜在的病理生理学以及检查和治疗方法。