Pan Dorothy W, Vanstrum Erik, Doherty Joni K
Caruso Department of Otolaryngology-Head and Neck Surgery, Keck School of Medicine, University of Southern California, 1537 Norfolk Street, Suite 5800, Los Angeles, CA 90033, USA.
Keck School of Medicine, University of Southern California, 1537 Norfolk Street, Suite 5800, Los Angeles, CA 90033, USA.
Otolaryngol Clin North Am. 2022 Jun;55(3):579-594. doi: 10.1016/j.otc.2022.02.005. Epub 2022 Apr 27.
Idiopathic intracranial hypertension (IIH) is a triad of headaches, visual changes, and papilledema in the absence of a secondary cause for elevated intracranial pressure. There is an association with obesity, and the incidence is rising in parallel with the obesity epidemic. Sometimes these patients present to an otolaryngologist with complaints like tinnitus, dizziness, hearing loss, and otorrhea or rhinorrhea from cerebrospinal fluid leak. IIH diagnosis in conjunction with neurology and ophthalmology, including neuroimaging and lumbar puncture with opening pressure, is key to managing of this condition. Otolaryngologists should recognize IIH as a possible diagnosis and initiate appropriate referrals and treatment.
特发性颅内高压（IIH）是指在没有继发性颅内压升高原因的情况下，出现头痛、视力变化和视乳头水肿三联征。它与肥胖有关，其发病率随着肥胖流行趋势而上升。有时这些患者会因耳鸣、头晕、听力损失以及脑脊液漏导致的耳漏或鼻漏等症状就诊于耳鼻喉科医生。结合神经科和眼科进行IIH诊断，包括神经影像学检查和测量腰椎穿刺初压，是管理这种疾病的关键。耳鼻喉科医生应认识到IIH可能是一种诊断，并启动适当的转诊和治疗。
