论文部分内容阅读
目的:探讨无影像学及脑脊液常规生化改变的非感染慢性颅内压增高症的临床表现及病因。方法:对31例头颅CT及脑脊液常规生化正常的慢性颅内压增高症患者的临床治疗进行回顾性分析。结果:慢性颅内压增高症主要表现为头痛、呕吐、视力减退及眼底改变;病因复杂。本组31例患者中,良性颅内压增高症22例,脑部血管病变3例,钩体病2例,交通性脑积水3例,红斑狼疮性脑病1例。结论:影像学正常的非感染性慢性颅内压增高症病因复杂,需要详细检查才能加以明确。其中,良性颅内压增高症最常见,其次为血管病变、交通性脑积水、免疫性疾病等。
Objective: To investigate the clinical manifestations and etiology of noninfectious chronic intracranial hypertension without imaging and routine biochemical changes of cerebrospinal fluid. Methods: The clinical data of 31 patients with cranial CT and cerebrospinal fluid routine biochemical normal chronic intracranial hypertension were analyzed retrospectively. Results: Chronic intracranial hypertension mainly manifested as headache, vomiting, vision loss and fundus changes; the cause is complex. The group of 31 patients, 22 cases of benign intracranial hypertension, cerebral vascular disease in 3 cases, leptospirosis in 2 cases, 3 cases of traffic hydrocephalus, lupus erythematosus encephalopathy in 1 case. CONCLUSIONS: The etiology of noninfectious chronic intracranial hypertension with normal imaging is complex and requires detailed examination before it can be clarified. Among them, benign intracranial hypertension is the most common, followed by vascular disease, traffic hydrocephalus, immune diseases.