大脑静脉鼻支架用于发性异常性内高血压
Deena Mariam Babu1, Saikanth Reddy Deepalam2, Raghunandan Nadig3
1Ophthalmology, St John's Medical College, Bengaluru, Karnataka, India.
Practical neurology
|December 11, 2025
概括
引起严重视力丧失的爆发性异常性内高血压可以通过早期脑静脉鼻腔支架有效治疗. 这种干预程序提供了视力缺陷的安全和完全解决.
科学领域:
- 神经学 神经学
- 干预性神经辐射学
背景情况:
- 异形性内高血压 (IIH) 可以出现突发性,导致快速和严重的视力丧失.
- 严重IIH的医疗管理往往是不够的,需要替代治疗策略.
研究的目的:
- 评估早期大脑静脉鼻支架在患有 fulminant idiopathic intracranial高血压的患者中的疗效和安全性.
主要方法:
- 一名20岁的女性患有 fulminant IIH和严重视力障碍,接受了穿皮脑静脉鼻腔支架.
- 这项手术是在症状出现的第7天进行的,因为医疗管理失败了.
主要成果:
- 患者在支架程序后3天内经历了显著的症状缓解.
- 在7个月的随访后,观察到 papilledema 的完全消失和正常视野的恢复.
结论:
- 早期的大脑静脉鼻支架是一种可行且有效的治疗 fulminant idiopathic intracranial高血压的方法.
- 这种干预可以导致视力完全恢复,并具有有利的安全性.
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