由于怀孕期间的荷尔蒙变化导致的异常性内高血压乳头病变
Marco Mafrici1, Francesca Tona2, Serena Fragiotta3
1Department of Ophthalmology, Ales-Cevennes Hospital, Ales, France.
Case reports in ophthalmological medicine
|July 20, 2023
概括
怀孕期间的荷尔蒙变化可以在患有慢性异常性内高血压 (IIH) 的女性中引发 papilledema. 这种导致视力问题的情况在分娩后得到解决,并在随后的怀孕中复发.
科学领域:
- 神经学 神经学
- 眼科医生 眼科 眼科
- 生殖医学 生殖医学
背景情况:
- 与内高血压相关的乳头炎有不清楚的潜在机制.
- 一个案例研究详细介绍了一名患有慢性异常性内高血压 (IIH) 的患者,他在两次怀孕期间保持无症状.
- 患者在怀孕期间出现了双侧乳头胀,影响近读,尽管视力敏度正常.
研究的目的:
- 在怀孕期间报告患有慢性异常性内高血压的患者双侧乳头胀病例.
- 探索与怀孕有关的荷尔蒙波动对IIH患者中枢神经系统异常的潜在影响.
主要方法:
- 一个19岁的女性患有与怀孕有关的视觉投诉的案例介绍.
- fundus 检查显示双侧乳头胀;MRI 证实慢性异常性内高血压.
- 这种情况在两个不同的怀孕中得到了类似的管理,分娩后恢复.
主要成果:
- 患者在怀孕期间经历了双边乳头胀,在分娩后得到缓解.
- 在随后的怀孕中观察到 papillary 的复发,在类似的管理下也得到解决.
- 磁共振成像证实了与慢性异常性内高血压一致的特征.
结论:
- 怀孕期间的荷尔蒙波动可能会影响中枢神经系统,可能导致内高血压和乳头.
- 这一案例表明,慢性IIH患者的妊娠激素和中枢神经系统过渡性异常之间存在联系.
- 涉及监测和分娩的管理导致视神经的解剖和功能恢复.
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