作为耳鼻喉科医生,诊断内压力升高的挑战
Michelle S Klausner1, Gerard J Gianoli2,3, Patricia Johnson4,5
1New York Medical College School of Medicine, Valhalla, NY, United States of America. mklausne2@student.nymc.edu.
概括
许多患有慢性鼻炎 (CRS) 或偏头痛症状的患者实际上可能患有高内压 (eICP). 早期识别和合作是eICP准确诊断和治疗的关键,防止误诊.
科学领域:
- 耳鼻喉科 耳鼻喉科 耳鼻喉科
- 神经学 神经学
- 神经外科 神经外科
背景情况:
- 慢性鼻炎 (CRS) 和偏头痛的症状经常与内压升高 (eICP) 的症状重叠.
- 错误诊断可能会发生,当 eICP 没有考虑在患有持续的面部疼痛,压力或其他耳部症状的患者中.
研究的目的:
- 澄清区分CRS和偏头痛与eICP的诊断挑战.
- 强调在耐火性鼻或偏头痛类症状的患者考虑eICP的重要性.
主要方法:
- 这篇叙事综述综合了临床经验和现有文献.
- 该综述讨论了差异诊断,eICP的症状学,以及在耳鼻喉学中的管理.
主要成果:
- 在CRS,偏头痛和eICP之间重叠的症状构成了诊断挑战.
- 患有持续的面部疼痛,压力,耳朵充满,听力损失或对标准治疗无反应的耳的患者需要对eICP进行评估.
结论:
- 准确诊断eICP需要耳鼻喉科医生和神经科医生之间的密切合作.
- 提高对eICP多样化呈现的认识,对于防止误诊和改善患者治疗结果至关重要.
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