Lessell I M, Wanger S L
Postgrad Med. 1984 Feb 15;75(3):59-66. doi: 10.1080/00325481.1984.11698592.
In patients with pseudotumor cerebri, visual loss may occur early or late. Patients with loss of vision at the time of diagnosis have a worse prognosis, but otherwise symptoms are not useful in predicting potential loss of vision. Systemic arterial hypertension is the only factor known to be important in risk for permanent loss of vision. CSF pressure may remain chronically elevated in most patients with benign intracranial hypertension regardless of whether or not the clinical syndrome recurs. Visual fields and acuity must be monitored meticulously in patients with pseudotumor cerebri, probably for life. Recurrences of the syndrome are not rare. Initial diagnosis requires performance of detailed neurologic and neuroophthalmologic examinations, computed tomographic scan of the brain, and lumbar puncture, in that order.
在假性脑瘤患者中，视力丧失可能早发或晚发。诊断时即有视力丧失的患者预后较差，但除此之外，症状对预测潜在视力丧失并无帮助。系统性动脉高血压是已知的唯一对永久性视力丧失风险有重要影响的因素。大多数良性颅内高压患者的脑脊液压力可能长期升高，无论临床综合征是否复发。对于假性脑瘤患者，可能需要终身密切监测视野和视力。该综合征复发并不罕见。初始诊断需要依次进行详细的神经和神经眼科检查、脑部计算机断层扫描以及腰椎穿刺。
