Tus Sau: Gregory Harris
Hnub Kev Tsim: 12 Lub Plaub Hlis Ntuj 2021
Hloov Hnub: 19 Lub Rau Hlis Ntuj 2024
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Cov mob ntsws pseudotumor cerebri - Tshuaj Kho Mob
Cov mob ntsws pseudotumor cerebri - Tshuaj Kho Mob

Pseudotumor cerebri syndrome yog ib yam mob uas lub siab nyob hauv pob txha taub hau tau nce ntxiv. Lub hlwb tau cuam tshuam rau hauv qhov uas cov xwm txheej zoo nkaus li, tab sis tsis yog, qog.

Tus mob feem ntau tshwm sim rau cov poj niam ntau dua li tus txiv neej, tshwj xeeb tshaj yog cov poj niam rog rog 20 txog 40 xyoo. Nws yog tsawg ntawm cov menyuam yaus tab sis tuaj yeem tshwm sim hauv cov menyuam yaus. Ua ntej ua tiav nkauj tiav nraug, nws tshwm sim sib luag hauv cov tub thiab ntxhais.

Cov tsis paub yog vim li cas.

Qee yam tshuaj tuaj yeem ua rau muaj kev pheej hmoo ntawm tus mob no. Cov tshuaj no suav nrog:

  • Amiodarone
  • Tshuaj txwv tiv thaiv xws li levonorgestrel (Norplant)
  • Cyclosporine
  • Cytarabine
  • Kev loj hlob lawm
  • Isotretinoin
  • Levothyroxine (menyuam yaus)
  • Lithium carbonate
  • Minocycline
  • Nalidixic acid
  • Nitrofurantoin
  • Phenytoin
  • Cov tshuaj steroid (pib lossis txwv lawv)
  • Sulfa tshuaj tua kab mob
  • Tamoxifen
  • Tetracycline
  • Qee cov tshuaj uas muaj Vitamin A, xws li cis-retinoic acid (Accutane)

Cov hauv qab no yog feem cuam tshuam nrog tus mob no:


  • Mob ntsws qis
  • Behcet kab mob
  • Mob raum tsis ua hauj lwm
  • Endocrine (kev tsis txaus siab) cov kab mob xws li Addison disease, Cushing disease, hypoparathyroidism, polycystic ovary syndrome
  • Tom qab kev kho mob (embolization) ntawm ib qho kev mob plab uas tsis meej
  • Cov kab mob kis tau zoo xws li HIV / AIDS, Lyme mob, tom qab kis mob qhua taum
  • Iron tsis muaj zog
  • Kev pham
  • Obstructive pw apnea
  • Cev xeeb tub
  • Sarcoidosis (mob rau cov qog ntshav, lub ntsws, lub siab, lub qhov muag, tawv nqaij, lossis lwm yam nqaij)
  • Cov kab mob eupidic lupus
  • Turner syndrome

Cov tsos mob tuaj yeem suav nrog ib qho hauv qab no:

  • Mob taub hau, qa, txhua hnub, xwm yeem thiab tuaj thaum sawv ntxov
  • Caj dab
  • Qhov muag plooj
  • Buzzing suab hauv pob ntseg (tinnitus)
  • Kiv taub hau
  • Ob lub zeem muag (diplopia)
  • Xeev siab, ntuav
  • Cov teeb meem pom kev zoo xws li ntsais muag los sis tsis pom kev
  • Mob qis nraub qaum, yaug raws ob txhais ceg

Cov mob taub hau yuav mob heev dua thaum siv lub cev, tshwj xeeb yog thaum koj zawm lub plab cov pob txha thaum hnoos lossis tawm hws.


Tus kws kho mob yuav kuaj xyuas lub cev. Cov cim ntawm tus mob no suav nrog:

  • Bulging anterior fontanelle rau cov menyuam mos
  • Nce taub hau loj
  • Kev o ntawm lub qhov muag o tuaj tom qab lub qhov muag (papilledema)
  • Inward tig ntawm lub qhov muag mus rau lub qhov ntswg (thib cranial, lossis abducens, hlab ntaws)

Txawm hais tias muaj qhov nce ntawm lub pob txha taub hau, nws tsis muaj qhov hloov pauv ntawm qhov tseem ceeb.

Kev ntsuam xyuas uas yuav ua tau muaj xws li:

  • Kev tshawb nrhiav nyiaj txiag
  • CT scan ntawm lub taub hau
  • Kev kuaj qhov muag, suav nrog kev ntsuam xyuas qhov muag
  • MRI ntawm lub taub hau nrog MR venography
  • Xaus caj pas (txha caj qaum)

Kev kuaj mob yog tsim thaum lwm cov kev mob hauv txoj cai txwv. Cov no suav nrog cov xwm txheej uas yuav ua rau muaj zog ntau hauv cov pob txha taub hau, xws li:

  • Hydrocephalus
  • Lub Pob Tawb
  • Mob paum rau lub plawv

Txoj kev kho yog hais txog ntawm qhov ua rau pseudotumor. Lub hom phiaj tseem ceeb ntawm kev kho mob yog txhawm rau khaws lub zeem muag thiab txo qhov mob taub hau tsawg.


Xaj caj dab (txha caj qaum) tuaj yeem pab daws lub siab hauv lub hlwb thiab tiv thaiv teeb meem tsis pom kev Rov ua dua lumbar punctures yog pab rau cov poj niam cev xeeb tub thiaj li ncua kev phais kom txog thaum tom qab yug menyuam tas.

Lwm yam kev kho mob suav nrog:

  • Ua kua lossis ntsev tsawg
  • Cov tshuaj xws li corticosteroids, acetazolamide, furosemide, thiab topiramate
  • Cov txheej txheem txheem sib sib zog los daws qhov mob siab los ntawm cov kua txha caj qaum txhim kho
  • Kev phais mob los daws qhov siab ntawm cov leeg pob qhov muag
  • Lub cev yuag
  • Kev kho mob ntawm qhov pib mob, xws li noj tshuaj vitamin A overdose

Tib neeg yuav tsum muaj lawv lub zeem muag los saib zoo. Muaj peev xwm tsis pom kev, uas yog qee zaum mus tas li. Kev soj qab xyuas MRI lossis CT scans tej zaum yuav ua kom tiav cov teeb meem xws li qog ntshav lossis hydrocephalus (tsim kua hauv cov pob txha taub hau).

Hauv qee kis, lub siab nyob sab hauv lub hlwb tseem nyob rau ntau xyoo. Cov tsos mob tuaj yeem rov qab rau qee tus neeg. Coob tus ntawm cov neeg muaj cov tsos mob uas maj mam dhau los ua mob thiab ua rau dig muag.

Qhov mob qee zaum ploj nws tus kheej hauv 6 lub hlis. Cov tsos mob tuaj yeem rov qab rau qee tus neeg. Coob tus ntawm cov neeg muaj cov tsos mob uas maj mam dhau los ua mob thiab ua rau dig muag.

Lub zeem muag poob yog ib qho mob hnyav heev ntawm tus mob no.

Hu rau koj tus kws kho mob yog tias koj lossis koj tus menyuam muaj mob li hais saum toj no.

Kev kub siab intracranial Idiopathic; Benign intracranial tawg

  • Nruab nrab hauv lub paj hlwb thiab lub paj hlwb peripheral

Miller NR. Pseudotumor cerebri. Hauv: Winn HR, ed. Youmans thiab Winn Neurological phaisCov. 7 tus ed. Philadelphia, PA: Elsevier; 2017: chap 164.

Rosenberg GA. Lub paj hlwb edema thiab kev cuam tshuam ntawm cerebrospinal kua ncig. Hauv: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology nyob rau hauv Kev Soj NtsuamCov. 7 tus ed. Philadelphia, PA: Elsevier; 2016: tshooj 88.

Varma R, Williams SD. Neurology. Hauv: Zitelli BJ, McIntire SC, Nowalk AJ, eds. Zitelli thiab Davis 'Atlas Kev Kuaj Mob Rau Menyuam yausCov. 7 tus ed. Philadelphia, PA: Elsevier, 2018: chap 16.

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