Medication-induced papilledema

B. Turgut
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引用次数: 1

Abstract

volume or amount by the cerebral edema or an intracranial spaceoccupying lesion such as brain tumor or hemorrhage or aneurysm; an increase of CSF production by choroid plexus; the decrease in the ventricular CSF outflow such as obstructive/non-communicating hydrocephalus or meningitis and subarachnoid hemorrhage; and a decrease in the CSF absorption by arachnoid villi or compromise of venous outflow (cavernous venous sinus thrombosis) or an elevation of intra-abdominal pressure resulting in an elevation in pleural pressure and cardiac filling pressure.3−6 The visual symptoms of papilledema include typically transient visual obscurations lasting seconds due to transient fluctuations in ONH perfusion. If it remains untreated, it can cause progressive irreversible visual loss and optic atrophy. The fundus findings of papilledema vary to its stages. Frisén scale for papilledema grading includes six stages ranging from ‘’0’’ to ‘’5’’:1,2,7
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Medication-induced视神经乳头水肿
脑水肿:脑水肿或颅内占位性病变如脑瘤、出血或动脉瘤的体积或数量;脉络膜丛增加脑脊液的产生;脑脊液流出减少,如梗阻性/非沟通性脑积水或脑膜炎和蛛网膜下腔出血;蛛网膜绒毛对脑脊液的吸收减少或静脉流出受损(海绵状静脉窦血栓形成)或腹腔内压升高导致胸膜压和心脏充盈压升高。3−6视神经乳头水肿的视觉症状通常包括ONH灌注瞬间波动引起的持续数秒的短暂性视障。如果不及时治疗,它会导致进行性不可逆的视力丧失和视神经萎缩。乳头状水肿的眼底表现因其分期而异。弗里斯海姆氏乳头水肿分级量表包括从“0”到“5”的六个阶段:1、2、7
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