Diaz Espejo C E, Villalobos Chaves F, Sureda Ramis B
J Neurol. 1987 Jan;234(1):59-61. doi: 10.1007/BF00314012.
Chronic intracranial hypertension in the presence of hydrocephalus and/or arachnoiditis is a rare presentation of neurobrucellosis. The present case is exceptional because neither hydrocephalus nor arachnoiditis were present. Brucellosis was diagnosed by serological tests. The patient developed asthenia, anorexia, weight loss, violent headaches, explosive vomiting, bilateral papilloedema, diplopia with paralysis of the abducens nerves, left supranuclear facial paralysis and left hemiparesis. A skull radiograph showed destruction of the sella turcica. Rapid recovery was attained with the use of antibiotics. The pathogenesis of this intracranial hypertension syndrome with destruction of sella turcica is discussed.
在脑积水和/或蛛网膜炎存在的情况下，慢性颅内高压是神经布氏杆菌病的一种罕见表现。本病例较为特殊，因为既没有脑积水也没有蛛网膜炎。布氏杆菌病通过血清学检测确诊。患者出现乏力、厌食、体重减轻、剧烈头痛、喷射性呕吐、双侧视乳头水肿、外展神经麻痹导致的复视、左侧核上性面瘫和左侧偏瘫。颅骨X线片显示蝶鞍破坏。使用抗生素后迅速康复。本文讨论了这种伴有蝶鞍破坏的颅内高压综合征的发病机制。
