关键词: acetazolamide diabetes mellitus idiopathic intracranial hypertension (iih) lumbar puncture male obesity surgical intervention visual impairment

来  源:   DOI:10.7759/cureus.43735   PDF(Pubmed)

Abstract:
We report a unique case of a 53-year-old male with idiopathic intracranial hypertension (IIH), predominantly affecting overweight young women. The patient, known to have diabetes mellitus, familial Mediterranean fever, and dyslipidemia, presented with blurred vision and throbbing headaches. Clinical examination, brain MRI/MRV, and a lumbar puncture confirmed the IIH diagnosis. Management with acetazolamide improved the patient\'s symptoms significantly. This case highlights the potential for IIH occurrence in men and underscores the need for early diagnosis and intervention to prevent potential visual impairment, typically more severe in male patients.
摘要:
我们报告了一个53岁的男性特发性颅内高压(IIH)的独特病例,主要影响超重的年轻女性。病人,已知患有糖尿病,家族性地中海热,和血脂异常,视力模糊和头痛。临床检查,脑部MRI/MRV,腰椎穿刺证实了IIH的诊断.乙酰唑胺治疗显著改善了患者的症状。该病例强调了男性发生IIH的可能性,并强调了早期诊断和干预以预防潜在视力障碍的必要性。通常在男性患者中更为严重。
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