Epidemiology and risk factors for idiopathic intracranial hypertension.
Epidemiology and risk factors for idiopathic intracranial hypertension.
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DOI：
10.1097/iio.0b013e3182aabf11
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发表时间：
2014
影响因子：
--
通讯作者：
Wall M
中科院分区：
文献类型：
--
作者：
Chen J;Wall M
特发性颅内压增高（IIH）是一种以颅内压升高为特征的综合征，常发生于育龄期肥胖妇女。颅内高压的体征和症状是患者保持警觉和定向的精神状态，但没有局部神经学发现。无脑室系统畸形或梗阻的证据，除脑脊液（CSF）压力升高外，神经诊断检查正常。1颅内压增高的神经影像学表现包括空蝶鞍综合征、壁光滑的静脉狭窄、扁平的球状物和完全展开的视神经鞘。此外，没有发现颅内高压的继发原因，该定义包括IIH的改良Dandy标准。[2]关于IIH的流行病学、危险因素和继发性颅内高压的文献相当多。在这次审查中，我们将重点放在IIH的情况下，修改后的丹迪标准得到满足。
Idiopathic intracranial hypertension (IIH) is a syndrome characterized by elevated intracranial pressure that usually occurs in obese women in the childbearing years. The signs and symptoms of intracranial hypertension are that the patient maintains an alert and oriented mental state, but has no localizing neurological findings. There is no evidence of deformity or obstruction of the ventricular system and neurodiagnostic studies are otherwise normal except for increased cerebrospinal fluid (CSF) pressure. 1 Neuroimaging signs of increased intracranial pressure include empty sella syndrome, smooth-walled venous stenoses, flattened globes, and fully unfolded optic nerve sheaths. In addition, no secondary cause of intracranial hypertension can be found. This definition comprises the modified Dandy criteria for IIH. 2 There is considerable literature on IIH epidemiology, risk factors, and secondary causes of intracranial hypertension. In this review, we will focus on cases of IIH where the modified Dandy criteria are met.