特发性颅内高压致视乳头水肿诊治中的误区  

Misconceptions in diagnosis and treatment of papilledema caused by idiopathic intracranial hypertension

作　　者：姜利斌 张婧 Jiang Libin;Zhang Jing(Beijing Tongren Eye Center,Beijing Tongren Hospital,Capital Medical University,Beijing Institute of Ophthalmology,Beijing Key Laboratory of Ophthalmology&Visual Sciences,Beijing 100730,China)

机构地区：[1]首都医科大学附属北京同仁医院北京同仁眼科中心、北京市眼科研究所、北京市眼科学与视觉科学重点实验室,北京100730

出　　处：《中华眼科杂志》2023年第5期342-346,共5页Chinese Journal of Ophthalmology

基　　金：首都卫生发展科研专项项目(首发2020-2-1082);北京市自然科学基金(7222028)。

摘　　要：视乳头水肿特指由于颅内压增高所致的视盘肿胀隆起。临床实践中,常将视乳头水肿与视盘水肿在概念上相混淆。特发性颅内高压(IIH)是造成视乳头水肿的一个主要原因,然而,对于IIH病因、视乳头水肿分级与检查以及IIH治疗等方面的认识,临床上尚存在一定的误区。本文将针对视乳头水肿诊治中可能存在的误区做逐一阐述,以期为国内视乳头水肿规范化诊治奠定基础。Papilledema refers to the swelling of the optic disk due to increased intracranial pressure.In clinical practice,papilledema is often confused with optic disc edema.Idiopathic intracranial hypertension(IIH)is a major cause of papilledema and there are still misconceptions about the etiology of IIH,the classification and examination of papilledema,and the treatment of IIH.This article elaborates on the misunderstandings that may exist in the diagnosis and treatment of papilledema,in order to lay a foundation for the standardized diagnosis and treatment of papilledema in China.

关 键 词：视乳头水肿 假性脑瘤 诊断 鉴别 治疗误解 

分 类 号：R774.62[医药卫生—眼科] R742[医药卫生—临床医学]