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Journal of the Korean Academy of Family Medicine 2007;28(8):626-630.
Published online August 10, 2007.
A Case of Idiopathic Intracranial Hypertension Associated with Obesity.
Se Hong Kim, A Reum Han, Kyung Soo Kim
Department of Family Medicine, Kangnam St. Mary's Hospital, College of Medicine, Catholic University, Korea. kskim@catholic.ac.kr
비만과 연관된 특발성 두개내 고혈압 1예
가톨릭대학교 의과대학 가정의학교실
Idiopathic intracranial hypertension, or Pseudotumor cerebri is a disorder characterized by symptoms and signs of a space-occupying intracranial mass without any evidence of mass or ventricular obstruction. We experienced a 28 years old obese woman who was presented with headache and progressive visual disturbance for one month. She presented bilateral papilledema with visual field defect. On MRI investigation no intracranial abnomality were observed. Lumbar puncture showed increased intracranial pressure and normal biochemical and cellular findings. The patient was diagnosed idiopathic intracranial hypertension and treated with therapeutic lumbar puncture, acetazolamide, furosemide, weight control and symptoms resolved gradually. We conclude that weight reduction is difficult to accomplish but always needed in idiopathic intracranial hypertension. (J Korean Acad Fam Med 2007;28:626-630)
Key Words: idiopathic intracranial hypertension, pseudotumor cerebri, obesity
특발성 두개내 고혈압은 뇌의 기질적인 병변 없이 두개내압이 상승하는 질환으로 두통, 어지럼증, 이명, 구역, 시력 감소, 복시 등의 증상을 동반하며 신경학적 검사에서 유두부종을 보이고 가장 심각한 합병증은 영구적인 시력장애이다. 정확한 발병 기전은 알려져 있지 않으며 비만한 젊은 여성에게 흔히 발생하고 적극적인 체중조절로 증상이 호전되는 것으로 알려져 있으나 아직까지 국내에선 비만 환자에게 발생된 특발성 두개내 고혈압이 보고된 바가 없다. 저자들은 비만한 28세 여성 환자에서 발생한 특발성 두개내 고혈압 증례를 경험하였기에 보고하는 바이다.
중심 단어: 특발성 두개 내 고혈압, 가성뇌종양, 비만
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