无视乳头水肿伴单侧展神经麻痹的假性脑瘤

Pseudotumor cerebri sine papilledema with unilateral sixth nerve palsy.

作者信息

Krishna R, Kosmorsky G S, Wright K W

机构信息

Division of Ophthalmology, Cleveland Clinic Foundation, Ohio 44195, USA.

出版信息

J Neuroophthalmol. 1998 Mar;18(1):53-5.

PMID:9532543

Abstract

A 17-year-old woman presented with a history of 1-week of headache and 3 days of horizontal diplopia. Examination revealed 20/20 vision in both eyes, no papilledema, and an abduction deficit in her left eye. Lumbar puncture revealed an opening pressure of 440 mm H2O. After treatment with acetazolamide, the headache and abduction deficit resolved. Papilledema never developed. This is a unique case of pseudotumor cerebri sine papilledema with a unilateral abduction deficit. We suggest that young women with headache and unilateral abduction deficits may be unrecognized cases of pseudotumor cerebri.

摘要

一名17岁女性，有1周头痛病史及3天水平性复视。检查发现双眼视力均为20/20，无视乳头水肿，左眼外展功能障碍。腰椎穿刺显示初压为440 mm H2O。经乙酰唑胺治疗后，头痛及外展功能障碍消失，未出现视乳头水肿。这是一例无视乳头水肿且伴有单侧外展功能障碍的假性脑瘤独特病例。我们认为，有头痛及单侧外展功能障碍的年轻女性可能是未被识别的假性脑瘤病例。