特发性颅内高压并静脉窦狭窄致视乳头水肿1例合并文献复习

A Case of Idiopathic Intracranial Hypertension with Venous Sinus Stenosis Causing Papilledema Combined with Literature Review

摘要: 目的：报道1例特发性颅内高压并静脉窦狭窄致视乳头水肿的临床特征和诊治要点，分析该病的发生机制及治疗预后。方法：回顾该病例的诊疗过程，并结合相关文献分析该病表现及治疗预后。结果：根据患者病史、症状、体征及腰椎穿刺，全身辅助检查，眼底照相，颅内CTV结果，诊断为“特发性颅内高压并静脉窦狭窄”，行颅内静脉窦支架置入术，随访2个月，病情稳定。结论：特发性颅内高压是相对罕见的不明原因的颅内高压，导致的视乳头水肿对患者视功能及生活质量造成严重损害，早期诊断对于挽救患者的视功能尤为重要。

Abstract: Objective: To report the clinical features and diagnostic and therapeutic points of a case of idio-pathic intracranial hypertension with venous sinus stenosis resulting in optic papillae edema, and to analyze the mechanism of the disease and the prognosis of the treatment. Methods: The diagnos-tic and treatment process of this case was reviewed, and the manifestations and treatment progno-sis of this disease were analyzed with relevant literature. Results: Based on the patient’s medical history, symptoms, signs and symptoms, lumbar puncture, systemic auxiliary examination, fundus photography, and intracranial CTV results, the patient was diagnosed as “idiopathic intracranial hypertension with venous sinus stenosis”, and underwent intracranial venous sinus stenting, and her condition was stabilized after 2 months of follow-up. Conclusion: Idiopathic intracranial hyper-tension is a relatively rare and unexplained form of intracranial hypertension, resulting in optic pa-pillae edema, which causes serious damage to the patient’s visual function and quality of life, and early diagnosis is particularly important to save the patient’s visual function.