Koepp M, Lempert T, Poewe W
Neurologische Abteilung, Universitätsklinikums Rudolf Virchow, Berlin.
Nervenarzt. 1995 Jun;66(6):397-402.
Increased cerebrospinal fluid pressure of usually unknown etiology is called pseudotumor cerebri. The key symptoms are headache, papilledema and fluctuating visual disturbances. Six cases are presented to illustrate the clinical variability of this syndrome. Headache or papilledema may be missing in individual cases. The clinical diagnosis can be facilitated by the recognition of accessory signs and symptoms, such as VIth nerve palsy, tinnitus and other cranial nerve disorders or neck stiffness. For the therapeutic outcome it is essential to detect and monitor visual disturbances early in the course of the disease.
病因通常不明的脑脊液压力升高被称为假性脑瘤。关键症状为头痛、视乳头水肿和波动性视力障碍。现报告6例以说明该综合征的临床变异性。个别病例可能无头痛或视乳头水肿。认识到诸如第六脑神经麻痹、耳鸣及其他颅神经障碍或颈部强直等辅助体征和症状有助于临床诊断。对于治疗效果而言,在疾病过程中尽早发现并监测视力障碍至关重要。