良性颅内压增高的诊断与治疗

• 作 者: 章翔 费舟 张剑宁 张志文 易声禹 李安民 刘卫平 付洛安 付相平 王占祥
• 机 构: 第四军医大学西京医院神经外科,第四军医大学西京医院神经外科,第四军医大学西京医院神经外科,第四军医大学西京医院神经外科,第四军医大学西京医院神经外科,第四军医大学西京医院神经外科,第四军医大学西京医院
• 出 处: 临床神经外科杂志
• 发表日期: 1996年02期
• 关键词: 良性颅内压增高 颞肌下减压术 高渗脱水药 蛛网膜下腔出血 视力减退 腰椎穿刺 眼部症状 持续引流 内分泌障碍 病因学

作者报道184例良性颅内压增高诊断与临床处理经验。本组病因以头部创伤、病毒或细菌感染较常见(76.7％),其次为内分泌障碍、蛛网膜下腔出血或贫血等因素(12.5％)。全组病例均有颅内压增高和眼部症状(如视力减退及视乳头水肿)等征象。治疗措施包括应用皮质类固醇或高渗脱水药物、多次腰椎穿刺、脑室持续引流或颞肌下减压术等。治疗结果:153例症状与体征恢复满意或有明显改善(83.3％),无死亡。作者主张对本病应早期诊断和治疗,可获较好疗效。

The authors report 184 cases of benign intracranial hypertension diagnosis and clinical experience. This group of etiology to head trauma, viral or bacterial infections are more common (76.7%), followed by endocrine disorders, subarachnoid hemorrhage or anemia and other factors (12.5%). All patients have increased intracranial pressure and ocular symptoms (such as vision loss and papilledema) and other signs. Treatment includes the application of corticosteroids or hypertonic dehydration drugs, multiple lumbar puncture, continuous ventricular drainage or temporal muscle decompression and so on. Treatment outcome: 153 cases of symptoms and signs of recovery or significant improvement (83.3%), no death. The author claims that the disease should be early diagnosis and treatment, can be a better effect.