特发性颅内高压症与颅内静脉窦狭窄诊疗现状及展望  

Idiopathic intracranial hypertension and intracranial venous sinus stenosis:current status and prospects

作　　者：王族 宋海庆[1] Wang Zu;Song Haiqing(Department of Neurology,Xuanwu Hospital Capital Medical University,Beijing 100053,China)

机构地区：[1]首都医科大学宣武医院神经内科,北京100053

出　　处：《中华脑血管病杂志（电子版）》2020年第4期188-193,共6页Chinese Journal of Cerebrovascular Diseases(Electronic Edition)

基　　金：国家重点研发计划重大慢性非传染性疾病防控研究重点专项(2016YFC1300600)。

摘　　要：特发性颅内高压症(IIH)是一种以颅内压增高为主要症状,以伴随的相关临床表现及体征为特征的临床综合征。而颅内静脉窦狭窄是一种少见的脑血管病,其确切病因尚不明确。目前学界广为接受的一种观点是,颅内静脉窦静脉狭窄是IIH的病因之一。在多项研究中,90%的IIH患者磁共振成像证实存在横窦狭窄。颅内静脉窦狭窄的临床表现及体征多与颅内高压症相关,如头痛、视乳头水肿、视物模糊、耳鸣等。尽管如此,仍有少部分的脑静脉狭窄患者未患有IIH,此类患者与患有IIH的患者特点存在差异。本文着眼于颅内静脉窦狭窄的诊疗,并比较各种治疗手段之间的差异。Idiopathic intracranial hypertension(IIH)is a clinical syndrome characterized by an increase of intracranial pressure and is accompanied by associated clinical symptoms and signs.Intracranial sinus stenosis is a rare cerebrovascular disease,and its exact etiology is unknown.A widely accepted academic view is that intracranial venous sinus vein stenosis is one of the causes of IIH.In multiple studies,90%of patients with IIH have been confirmed to be with transverse sinus stenosis by magnetic resonance imaging.Its clinical manifestations are mostly related to intracranial hypertension,such as headache,papillary edema,blurred vision,and tinnitus.Nevertheless,a small number of patients with cerebral venous stenosis do not have IIH,and these patients have different characteristics from those with IIH.This article looked at the diagnosis and treatment of intracranial sinus stenosis and compared the differences between various treatments.

关 键 词：脑静脉狭窄 颅内静脉窦狭窄 特发性颅内高压症 

分 类 号：R743.3[医药卫生—神经病学与精神病学]