Thakur Sheetal, Mahajan Manisha, Azad Ramesh K, Thakur Jagdeep S
171001 Shimla, HP India Department of Otolaryngology-Head and Neck Surgery (ENT), Indira Gandhi Medical College.
Indian J Otolaryngol Head Neck Surg. 2023 Jun;75(2):1031-1034. doi: 10.1007/s12070-022-03303-x. Epub 2022 Dec 10.
Headache is a frequent complaint in COVID-19 while intracranial hypertension leading to acute vision loss is unusual. A 49-years-old female presented with persistent headache and vision loss and was found Covid 19 positive. Investigations suggested Covid 19 associated intracranial hypertension. She improved with medical management but again presented with acute vision loss. The visual loss was managed by endoscopic optic nerve fenestration surgery. She had significant recovery in vision during follow up period. Persistent headache in Covid 19 should have a high index of suspicion for idiopathic intracranial hypertension to avoid irreversible vision loss.
头痛是新冠肺炎患者常见的症状，而导致急性视力丧失的颅内高压则较为罕见。一名49岁女性出现持续性头痛和视力丧失，新冠病毒检测呈阳性。检查提示为新冠病毒相关颅内高压。她经药物治疗后有所好转，但再次出现急性视力丧失。视力丧失通过内镜下视神经开窗手术进行治疗。在随访期间，她的视力有显著恢复。对于新冠肺炎患者的持续性头痛，应高度怀疑特发性颅内高压，以避免不可逆的视力丧失。
