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特发性颅内高压:治疗前后的影像学分析。

Idiopathic Intracranial Hypertension: Pre- and Post-treatment Radiologic Analyses.

作者信息

Martins José Diogo, Mesquita Pedro, Alves Costa Joana, Palma Iria, Costa João Carlos

机构信息

Internal Medicine, Unidade Local de Saúde do Alto Minho, Viana do Castelo, PRT.

Medicine, University of Minho, Braga, PRT.

出版信息

Cureus. 2024 Dec 10;16(12):e75510. doi: 10.7759/cureus.75510. eCollection 2024 Dec.

Abstract

We discuss a case of a 19-year-old female who presented with pressure headaches and progressive vision loss. In the emergency department, a series of diagnostic tests were conducted, including CT, MRI, and lumbar puncture with measurement of opening pressure. All these examinations yielded results consistent with the suspected diagnosis of idiopathic intracranial hypertension (IIH). The patient was treated with acetazolamide to reduce intracranial pressure, resulting in the resolution of symptoms and the normalization of intracranial pressure on imaging studies. She was subsequently discharged from the hospital seven days after her initial presentation.

摘要

我们讨论一例19岁女性病例,该患者出现压迫性头痛和进行性视力丧失。在急诊科,进行了一系列诊断测试,包括CT、MRI以及测量初压的腰椎穿刺。所有这些检查结果均与特发性颅内高压(IIH)的疑似诊断相符。患者接受乙酰唑胺治疗以降低颅内压,症状得以缓解,影像学检查显示颅内压恢复正常。她在首次就诊后七天出院。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0925/11718232/5b6579220703/cureus-0016-00000075510-i01.jpg

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