Management of Idiopathic Intracranial Hypertension: A Case Report.

Xiang-Ling Huang, Pao-Hui Tseng, Wan-Hsiang Wang, Sheng-Tzung Tsai
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Abstract

Abstract: BACKGROUND: Idiopathic intracranial hypertension (IIH) is a neurological disorder characterized by elevated intracranial pressure, affecting predominantly obese women of childbearing age. Early recognition and comprehensive management are vital for preventing severe complications, particularly vision loss. METHODS: This study reports a case of a 27-year-old woman who presented with chronic headaches and blurred vision. Notable findings included headaches that were intensified upon waking and exacerbated by activities that elevated intracranial pressure. The patient also reported nausea, vomiting, transient visual obscurations, and pulsatile tinnitus. After a clinical examination, she was given a diagnosis of IIH. RESULTS: The patient underwent a lumbar-peritoneal shunt procedure to alleviate her symptoms in conjunction with medication treatment. This case study highlights the importance of a multidisciplinary approach in diagnosing and treating IIH. In particular, weight management emerged as a crucial preventive measure against IIH recurrence. CONCLUSION: A multidisciplinary team strategy can enhance outcomes and quality of life, accentuating the need for continued research into IIH recurrence, treatments, and wider implications.

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特发性颅内高压的治疗:病例报告。
摘要:背景:特发性颅内高压(IIH)是一种以颅内压升高为特征的神经系统疾病,主要影响育龄期肥胖妇女。早期识别和综合治疗对于预防严重并发症,尤其是视力丧失至关重要。方法:本研究报告了一例 27 岁女性的病例,她曾出现慢性头痛和视力模糊。值得注意的是,患者的头痛在起床后加剧,并在颅内压升高的活动中加剧。患者还报告了恶心、呕吐、一过性视物模糊和搏动性耳鸣。经过临床检查,她被诊断为 IIH。结果:患者在接受药物治疗的同时,还接受了腰腹分流术,缓解了症状。本病例研究强调了多学科方法在诊断和治疗 IIH 中的重要性。尤其是体重管理是预防 IIH 复发的关键措施。结论:多学科团队策略可提高治疗效果和生活质量,因此有必要继续研究 IIH 复发、治疗方法和更广泛的影响。
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