METHODS: This was a retrospective study. Patients diagnosed with IIH at the hospital [Blinded], Cali, Colombia, from October 2013 to May 2018 were included. Their medical records were reviewed, and clinical and diagnostic variables were collected along with outcomes and follow-up data.
RESULTS: A series of 13 cases, 12 women and 1 man, between the second and fifth decade of life, with an average age of 29.4 years were included. All presented with headache; 12 had papilledema (92%), and diplopia and palsy of cranial nerve VI were observed in 3 cases (46%). All patients underwent simple CT scan of the brain and simple and gadolinium-enhanced MRI of the brain, none of which showed lesions that would explain the intracranial hypertension; however, upon resonance angiography followed by cerebral angiography, 8 cases (61%) of cerebral venous sinus involvement were found.
CONCLUSIONS: Patients who present with a clinical picture compatible with IIH should undergo intra-arterial digital subtraction angiography (IADSA) to rule out cerebrovascular alterations.
方法:这是一项回顾性研究。在医院诊断为IIH的患者[失明],卡利,哥伦比亚,包括2013年10月至2018年5月。他们的医疗记录被审查了,收集临床和诊断变量以及结局和随访数据.
结果:一系列13例,12个女人和1个男人,在生命的第二个和第五个十年之间,平均年龄为29.4岁。所有患者均出现头痛;12例有乳头水肿(92%),3例(46%)观察到复视和颅神经VI麻痹。所有患者都接受了简单的大脑CT扫描和简单的和钆增强的大脑MRI,其中没有一个显示可以解释颅内高压的病变;然而,在共振血管造影术后进行脑血管造影术,8例(61%)脑静脉窦受累。
结论:具有与IIH相符的临床表现的患者应进行动脉内数字减影血管造影(IADSA)以排除脑血管改变。