良性颅内高压。79例婴幼儿及儿童病例回顾。
Benign intracranial hypertension. A review of 79 cases in infancy and childhood.
作者信息
Grant D N
出版信息
Arch Dis Child. 1971 Oct;46(249):651-5. doi: 10.1136/adc.46.249.651.
Abstract
An analysis is presented of 79 children under the age of 15 years suffering from benign intracranial hypertension. The commonest predisposing factor was chronic middle-ear disease which was found in 39%. Headache was the presenting symptom in 57% followed in order of frequency by earache, blurred or double vision, and vomiting. Papilloedema was present at some stage in 95%. Contrast radiography was regarded as mandatory in order to exclude a space-occupying lesion, the procedure of choice being ventriculography. A case is made for considering, as alternative procedures, echoencephalography or angiography. Treatment was limited to lumbar puncture and the prognosis was uniformly good. Nevertheless vigilance must be maintained because of the risk of permanent damage to vision from persistent papilloedema.
摘要
对79名15岁以下患有良性颅内高压的儿童进行了分析。最常见的诱发因素是慢性中耳疾病，在39%的病例中被发现。头痛是57%的患者的首发症状，其次按出现频率依次为耳痛、视力模糊或复视以及呕吐。95%的患者在某个阶段出现视乳头水肿。为排除占位性病变，对比造影被认为是必需的，首选的检查方法是脑室造影。有人提出将脑回波描记术或血管造影术作为替代检查方法。治疗仅限于腰椎穿刺，预后普遍良好。然而，由于持续性视乳头水肿有导致永久性视力损害的风险，必须保持警惕。
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本文引用的文献
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