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Hipertensão intracraniana idiopática

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ბოლო მიმოხილვა: 9 Dec 2025
ბოლო განახლება: 04 Feb 2022

შეჯამება

განსაზღვრება

ანამნეზი და გასინჯვა

ძირითადი დიაგნოსტიკური ფაქტორები

  • presença de fatores de risco
  • perda de campo visual
სრული ტექსტი

სხვა დიაგნოსტიკური ფაქტორები

  • cefaleia
  • obscurecimentos visuais transitórios
  • zumbido síncrono ao pulso
  • fotofobia
  • dor retrobulbar
  • edema do disco óptico
  • acuidade visual reduzida
  • distúrbios de motilidade ocular
  • defeito pupilar aferente relativo
სრული ტექსტი

რისკფაქტორები

  • sexo feminino
  • obesidade e ganho de peso
  • uso de determinados medicamentos
  • doenças causais associadas
  • apneia do sono
  • história familiar
სრული ტექსტი

დიაგნოსტიკური კვლევები

1-ად შესაკვეთი გამოკვლევები

  • testes de campo visual (perimetria)
  • fundoscopia dilatada
  • acuidade visual
  • ressonância nuclear magnética (RNM) cranioencefálica com ou sem contraste
  • punção lombar nos segmentos L3/L4 da espinha
სრული ტექსტი

გასათვალისწინებელი კვლევები

  • venografia por ressonância magnética da cabeça
  • tomografia de coerência óptica
სრული ტექსტი

მკურნალობის ალგორითმი

მწვავე

todos os pacientes

კონტრიბუტორები

ავტორები

Michael Wall, MD

Professor

Department of Neurology and Department of Ophthalmology & Visual Sciences

University of Iowa Hospitals & Clinics and Iowa City VA Health Care System

Iowa City

IA

გაფრთხილება:

MW is an author of a number of references cited in this topic.

Mansoor Mughal, MD

Retina Fellow

Rutgers University

Robert Wood Johnson University Hospital

New Brunswick

NJ

გაფრთხილება:

MM declares that he has no competing interests.

რეცენზენტები

Paul W. Brazis, MD

Consultant in Neurology and Neuro-Ophthalmology

Mayo Clinic Florida

Jacksonville

FL

გაფრთხილება:

PWB declares that he has no competing interests.

Tim D. Matthews, MBBS

Consultant Neuro-ophthalmologist

Birmingham Neuro-ophthalmology Unit

University Hospital Birmingham

Birmingham

UK

Disclosures

TDM declares that he has no competing interests.

Peer reviewer acknowledgements

BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.

Disclosures

Peer reviewer affiliations and disclosures pertain to the time of the review.

References

Our in-house evidence and editorial teams collaborate with international expert contributors and peer reviewers to ensure that we provide access to the most clinically relevant information possible.

Key articles

Wall M. Idiopathic intracranial hypertension. Neurol Clin. 2010 Aug;28(3):593-617.Full text  Abstract

Johnson LN, Krohel GB, Madsen RW, et al. The role of weight loss and acetazolamide in the treatment of idiopathic intracranial hypertension (pseudotumor cerebri). Ophthalmology. 1998 Dec;105(12):2313-7. Abstract

Hayreh SS. Pathogenesis of oedema of the optic disc (papilloedema): a preliminary report. Br J Ophthalmol. 1964 Oct;48:522-43.Full text  Abstract

Smith JL. Whence pseudotumor cerebri? J Clin Neuroophthalmol. 1985 Mar;5(1):55-6. Abstract

Frisen L. Swelling of the optic nerve head: a staging scheme. J Neurol Neurosurg Psychiatry. 1982 Jan;45(1):13-8.Full text  Abstract

NORDIC Idiopathic Intracranial Hypertension Study Group Writing Committee; Wall M, McDermott MP, Kieburtz KD, et al. Effect of acetazolamide on visual function in patients with idiopathic intracranial hypertension and mild visual loss: the idiopathic intracranial hypertension treatment trial. JAMA. 2014 Apr 23-30;311(16):1641-51.Full text  Abstract

Sinclair AJ, Burdon MA, Nightingale PG, et al. Low energy diet and intracranial pressure in women with idiopathic intracranial hypertension: prospective cohort study. BMJ. 2010 Jul 7;341:c2701.Full text  Abstract

Hoffmann J, Mollan SP, Paemeleire K, et al. European Headache Federation guideline on idiopathic intracranial hypertension. J Headache Pain. 2018 Oct 8;19(1):93.Full text  Abstract

Reference articles

A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
  • Hipertensão intracraniana idiopática images

  • Differentials

    • Anomalias estruturais intracranianas
    More Differentials

  • Guidelines

    • European Headache Federation guideline on idiopathic intracranial hypertension
    More Guidelines

  • Patient information

    Zumbido

    Obesidade - medicamentos e cirurgia

    More Patient information
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