恶性颅内高压诊治思考:一例报告

目的 报告1例恶性颅内高压病例,回顾其诊断与治疗经过,并分析病因,以提高临床医师对恶性颅内高压的认知.方法 与结果 男性患者,19岁,亚急性发病,呈慢性病程,以黑蒙、头痛、颈肩痛、视物模糊及耳鸣发病,影像学检查提示脑静脉窦狭窄且狭窄两端存在明显压力差,但脑静脉窦支架植入术无效,经视神经鞘减压术后头痛及视物模糊等症状无明显改善,最终经脑组织活检术确诊为胶质母细胞瘤(WHOⅣ级),手术切除肿瘤灶,术后8个月死亡.结论 恶性颅内高压伴脑静脉窦狭窄两端存在压力差的患者不宜行支架植入术,明确狭窄原因及类型对正确诊断及指导治疗至关重要....

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Published in中国现代神经疾病杂志 Vol. 22; no. 6; pp. 500 - 506
Main Authors 曲典, 郝文思, 连芳, 胡舒缘, 谷亚钦, 段建钢
Format Journal Article
LanguageChinese
Published 黑龙江省哈尔滨二四二医院神经内科,150066%100053北京,首都医科大学宣武医院神经内科%100053北京,首都医科大学宣武医院病理科%100053北京,首都医科大学宣武医院急诊科 01.06.2022
100053北京,首都医科大学宣武医院急诊科
Subjects
颅内高压
胶质母细胞瘤
支架
脑静脉
Online AccessGet full text
ISSN1672-6731
DOI10.3969/j.issn.1672-6731.2022.06.010

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Abstract 目的 报告1例恶性颅内高压病例,回顾其诊断与治疗经过,并分析病因,以提高临床医师对恶性颅内高压的认知.方法 与结果 男性患者,19岁,亚急性发病,呈慢性病程,以黑蒙、头痛、颈肩痛、视物模糊及耳鸣发病,影像学检查提示脑静脉窦狭窄且狭窄两端存在明显压力差,但脑静脉窦支架植入术无效,经视神经鞘减压术后头痛及视物模糊等症状无明显改善,最终经脑组织活检术确诊为胶质母细胞瘤(WHOⅣ级),手术切除肿瘤灶,术后8个月死亡.结论 恶性颅内高压伴脑静脉窦狭窄两端存在压力差的患者不宜行支架植入术,明确狭窄原因及类型对正确诊断及指导治疗至关重要.
AbstractList 目的 报告1例恶性颅内高压病例,回顾其诊断与治疗经过,并分析病因,以提高临床医师对恶性颅内高压的认知.方法 与结果 男性患者,19岁,亚急性发病,呈慢性病程,以黑蒙、头痛、颈肩痛、视物模糊及耳鸣发病,影像学检查提示脑静脉窦狭窄且狭窄两端存在明显压力差,但脑静脉窦支架植入术无效,经视神经鞘减压术后头痛及视物模糊等症状无明显改善,最终经脑组织活检术确诊为胶质母细胞瘤(WHOⅣ级),手术切除肿瘤灶,术后8个月死亡.结论 恶性颅内高压伴脑静脉窦狭窄两端存在压力差的患者不宜行支架植入术,明确狭窄原因及类型对正确诊断及指导治疗至关重要.
Author 曲典
胡舒缘
谷亚钦
连芳
段建钢
郝文思
AuthorAffiliation 100053北京,首都医科大学宣武医院急诊科;黑龙江省哈尔滨二四二医院神经内科,150066%100053北京,首都医科大学宣武医院神经内科%100053北京,首都医科大学宣武医院病理科%100053北京,首都医科大学宣武医院急诊科
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GU Ya-qin
DUAN Jian-gang
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HAO Wen-si
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胶质母细胞瘤
支架
脑静脉
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