Pseudotumor cerebri-Case report

被引:0
作者
Nicula, Cristina [1 ,2 ]
Suciu, Corina [2 ]
Bulboaca, Adriana Elena [3 ]
机构
[1] Univ Med & Pharm Iuliu Hatieganu, Fac Med, Dept Ophthalmol, Cluj Napoca, Romania
[2] Emergency Cty Eye Hosp, Cluj Napoca, Romania
[3] Univ Med & Pharm Iuliu Hatieganu, Fac Med, Dept Pathophysiol, Cluj Napoca, Romania
关键词
pseudotumor cerebri; idiopatic intracranial hypertension; papilledema; IDIOPATHIC INTRACRANIAL HYPERTENSION; CEREBROSPINAL-FLUID DIVERSION; NERVE SHEATH DECOMPRESSION; CORTICOSTEROID WITHDRAWAL; FENESTRATION; IMPROVEMENT; HEADACHE; SURGERY;
D O I
10.12680/balneo.2020.315
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
An 46-year-old Caucasian woman was diagnosed with idiopathic intracranial hypertension (IIH) after presenting with papilledema and bilateral visual blurring. Lumbar puncture revealed an opening pressure of more than 550 mmH(2)O. Cerebral magnetic resonance imaging (MRI) showed bilateral flattening of the posterior sclera, enhancement of the prelaminar optic nerve, distension of the perioptic subarachnoid space, intraocular protrusion of the prelaminar optic nerve and empty sella. The main purpose of the treatment was to release the symptoms and preserve the vision. It was initiated the general treatment with Mannitol 20%, 250 ml/day, Acetazolamide 2x500 mg/day and B-vitamins. After discharge the patient followed a treatment with acetazolamide 2x250 mg/ daily doses and oral potassium supplements 30 mg bid/day.
引用
收藏
页码:50 / 54
页数:5
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