Department of Neurosurgery and Brain Repair, University of South Florida, Tampa, FL, USA.
Department of Neurosurgery and Brain Repair, University of South Florida, Tampa, FL, USA.
Neurosurg Clin N Am. 2022 Apr;33(2):207-214. doi: 10.1016/j.nec.2021.11.002. Epub 2022 Mar 2.
Idiopathic intracranial hypertension, pseudotumor cerebri, and benign intracranial hypertension are terms used to describe a neurologic syndrome characterized by elevated intracranial pressure, headache, vision loss, and absence of underlying mass lesion and infection. Increased cerebrospinal fluid (CSF) production has been proposed to play a role in this condition; however, in patients with CSF hypersecretion with known causes such as choroid plexus hyperplasia, patients often develop ventriculomegaly and hydrocephalus. Classically, pseudotumor cerebri is diagnosed as a triad of headache, visual changes, and papilledema. This article discusses the role of medical and surgical management and the expanding role of venous stenting.
特发性颅内高压、假性脑瘤和良性颅内高压是用于描述一种以颅内压升高、头痛、视力丧失和无潜在肿块病变和感染为特征的神经系统综合征的术语。有人提出，脑脊液（CSF）产量增加在这种情况下起作用；然而，在已知原因（如脉络丛增生）导致 CSF 分泌过多的患者中，常出现脑室扩大和脑积水。假性脑瘤经典地被诊断为头痛、视觉改变和视乳头水肿三联征。本文讨论了药物和手术治疗的作用以及静脉支架置入术的扩展作用。
