具有可逆性半衰减的异常性脑内高血压:一种罕见的模仿中风
Muhamad Asraf Azhari1, Noor Azimah Muhammad1
1Department of Family Medicine, Hospital Canselor Tuanku Muhriz UKM, Kuala Lumpur, MYS.
Cureus
|February 4, 2026
概括
异常性内高血压 (IIH) 很少会导致类似中风的症状,如半. 及时诊断和治疗,包括腰部穿刺,对于这些罕见的神经病例的恢复至关重要.
科学领域:
- 神经学 神经学
- 眼科医生 眼科 眼科
背景情况:
- 异常性内高血压 (IIH) 很少出现焦点神经缺陷,可能模仿急性中风.
- 这种表现可能会推迟准确的诊断和适当的管理.
研究的目的:
- 报告一种罕见的IIH病例,呈现急性半.
- 为了强调IIH模仿中风的诊断考虑因素.
主要方法:
- 一个43岁的妇女的病例报告,头痛,视觉症状和急性半.
- 诊断工作包括 fundus 检查,神经成像 (CT,CT血管造影) 和腰部穿刺.
- 治疗包括腰部穿刺和阿扎胺.
主要成果:
- 这位患者出现了 papilledema 和轻微的半.
- 神经成像排除了急性中风或血管原因.
- 腰部穿刺揭示了正常脑脊液的升高开口压力.
- 在治疗后一周内,半衰减的显著改善和完全消失发生了.
结论:
- 在急性半症的差异诊断中应考虑IIH,特别是当伴随着持续的头痛和视力障碍时.
- 及时的神经成像,眼科评估和腰部穿刺对于诊断和管理这种不常见的IIH呈现至关重要.
- 早期干预会带来有利的结果.
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