疾病或症状应该以他们的名字命名“特发性颅内高血压”而不是他们不“可见到大脑,”“主要可见大脑”或“可见大脑综合症”(ptc)。This was impressed on us during a visit to the National Eye Institute many years ago when we were told "we are not going to fund a pseudo anything." We do not believe there is need for the term PTCS. Secondary causes of intracranial hypertension should also be called what they are: e.g. vitamin A-induced intracranial hypertension, tetracycline-induced intracranial hypertension, steroid withdrawal-related intracranial hypertension, rather than subsuming them with the PTCS acronym . When criteria for IIH are not met and no secondary cause is found - "intracranial hypertension of unknown cause" should be used. The naming convention we propose is unambiguous; PTCS could mean any of the above diagnoses.
疾病或症状应该以他们的名字命名“特发性颅内高血压”而不是他们不“可见到大脑,”“主要可见大脑”或“可见大脑综合症”(ptc)。This was impressed on us during a visit to the National Eye Institute many years ago when we were told "we are not going to fund a pseudo anything." We do not believe there is need for the term PTCS. Secondary causes of intracranial hypertension should also be called what they are: e.g. vitamin A-induced intracranial hypertension, tetracycline-induced intracranial hypertension, steroid withdrawal-related intracranial hypertension, rather than subsuming them with the PTCS acronym . When criteria for IIH are not met and no secondary cause is found - "intracranial hypertension of unknown cause" should be used. The naming convention we propose is unambiguous; PTCS could mean any of the above diagnoses.
有关标准,沃尔特花花公子[2]提出的要求分开颅内高压症因其他原因引起颅内压力,特别是脑部肿瘤,在一篇社论中编纂的j·l·史密斯在1985年。他叫他们修改后的花花公子标准(尽管花花公子没有直接指定标准的诊断颅内高压症)。[3]这些修改花花公子标准已经成功应用多年。
我们同意我们的同事,因为我们了解更多关于颅内高压症和二次形式的颅内高血压诊断标准的各种原因颅内高血压应该修改为更清晰地分离颅内高压症和次要原因。我们有更新修改的花花公子标准IIHTT(表)。一旦这项临床试验的结果发表,任何治疗建议将最直接应用于病人满足这些标准,而不是另一组标准。我们建议特发性颅内高血压是这种疾病的最合适的名称,修改后的花花公子标准继续使用和更新在适当的时候保持良好的诊断标准。
表。IIHTT花花公子修改标准
1。症状和体征的增加颅内压
2。缺乏本地化发现神经系统检查
3所示。无畸形、位移或脑室系统的阻塞,否则正常神经诊断研究中,除了增加的证据脑脊液压力(大于200毫米的水)。*异常神经影像除了空蝶鞍,视神经鞘填写CSF, smooth-walled非从流量静脉窦狭窄或崩溃导致另一个诊断
4所示。清醒和警觉
5。没有其他原因,增加颅内压礼物* CSF开启压力200 - 250毫米的水需要至少下列之一:
脉冲同步耳鸣
vi麻痹
-Frisen二级视神经乳头水肿
回波描记术点负面的和没有其他盘异常模仿盘水肿
mrv(磁共振造影术)侧窦崩溃/狭窄最好使用ATECO技术
部分空鞍冠状或矢状视图和视神经鞘与全球旁边填写CSF T2加权轴向扫描
。
1。弗里德曼DI,刘G, Digre KB。修订的诊断标准可见大脑综合症。首页神经学2013;81:1159 - 1165。
2。花花公子。没有脑瘤颅内压。安杂志1937;106:492 - 513。
3所示。史密斯杰。由此可见大脑?中国Neuro-ophthalmol 1985; 5:55-56。
披露,通过journal@neurology.org联系编辑部。首页