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首页> 外文期刊>Journal of neurology >Current concepts and strategies in the diagnosis and management of idiopathic intracranial hypertension in adults
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Current concepts and strategies in the diagnosis and management of idiopathic intracranial hypertension in adults

机译：诊断和管理成人特发性颅内高血压的当前概念和策略

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摘要

Since obesity has become an epidemic in industrialized nations, idiopathic intracranial hypertension (IIH) is now a more common neuro-ophthalmic disorder that causes visual loss and headaches. This review highlights the new diagnostic criteria for IIH and the new insights into the pathophysiologic mechanisms of IIH. Key diagnostic and monitoring techniques for papilledema include not only neuroimaging and the measurement of cerebrospinal fluid (CSF) pressure, but also perimetry, optical coherence tomography, and ocular sonography. The main findings of the Idiopathic Intracranial Hypertension Treatment Trial (IIHTT) support acetazolamide as the mainstay for medical therapy. CSF diversion procedures, endovascular venous sinus stenting, and optic nerve sheath fenestration are all surgical options when IIH is refractory to medical treatment or when it presents fulminantly. Future clinical trials comparing these procedures will help develop better paradigms in the surgical management of IIH.
机译：由于肥胖已成为工业化国家的流行病，因此特发性颅内高血压（IIH）现在是一种更常见的神经眼性疾病，导致视觉丧失和头痛。本综述突出了IIH的新诊断标准及其进入IIH病理物理学机制的新见解。乳头肿瘤的关键诊断和监测技术不仅包括神经成像和脑脊液（CSF）压力的测量，还包括围绕，光学相干断层扫描和眼睛超声检查。特发性颅内高血压治疗试验（IIHTT）的主要结果支持乙酰唑胺作为医疗治疗的主干。 CSF转移程序，血管内静脉窦房位和视神经护套更eneStration全外科选择，当IIH对医疗令人难以忍受或令人富有令人难以置信时。比较这些程序的未来临床试验将有助于在IIH的手术管理中产生更好的范式。

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