İntrakranial Hipertansiyonlu Olguların Değerlendirilmesi
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Tarih
2012
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info:eu-repo/semantics/openAccess
Özet
Amaç: Düzce Üniversitesi Araştırma ve Uygulama Hastanesi, Nöroloji kliniğinde İHH tanısı konulmuş hastaların klinik bulgu ve tedavilerinin prognoz ile ilişkilerinin incelenmesi amaçlanmıştır. Gereç ve Yöntem: İİH tanısı ile tedavi ve takip edilen 23 hasta incelendi. Çalışmada Modifiye Dandy Kriterleri esas alındı. Kranial görüntüleme yapılarak, lomber ponksiyonları gerçekleştirildi. Bulgular: İİH tanılı hastaların %78,3'si kadın, %21,7 si erkekti. En sık başvuru nedeni olan baş ağrısına, bulanık görme, bakış kısıtlılığı, geçici görme kaybı, göz ağrısı, çift görme, bulantı, ışıktan rahatsız olma, baş dönmesi ve kulak çınlaması eşlik ediyordu. Hastaların %60.9'u obezdi. Beş hastada papil ödem gözlenmeksizin İİH tanısı saptandı.Empty sella dışında kranial görüntüleme normal sınırlardaydı. Tedavide, asetozolamid, metilprednisolon ve/veya topiramat verildi. Takip süresi 3-6 ay olarak düzenlendi. Bu süreç içinde görme kaybı yaşayan hastamız olmadı. Sonuç: Devamlılık gösteren atipik baş ağrı vakalarında, obezite varsa İİH tanısı düşünülerek ileri tetkik yapılmalıdır. Erken tedavi, olası görme kayıplarını önlemede önem taşımaktadır.
Objective: In this study clinical findings of patients, who diagnosed with IIH in Duzce Univesity Research and Teaching Hospital Neurology Clinic were investigated. Materials and Methods: Treatment and follow-up of 23 patients were examined with diagnosis of IIH from the records. The study was based on modified Dandy criteria. The patients who were performed lumbar puncture and were done cranial imaging included in the study. Results: The patients diagnosed with IIH were 78.3% female and 21.7% male. The most common reason for admission was headache and it was accompanied by blurred vision, visual of limitation, temporary loss of vision, eye pain, double vision, nausea, dislike of light, dizziness and tinnitus. 60.9% of the patients were obese. Five patients without papilledema were diagnosed with IIH. The cranial imagings were in normal limits except for empty cella. In treatment, the patients were given acetozolamide, methylprednisolone and/or topiramate. The follow-up period was arranged in 3-6 months. In the process, there were not any patients who had loss of vision. Conclusion: Continuity in atypical cases of headache, if they have obesity, there should be further examination in mind of an IIH diagnosis. Early diagnosis and treatment are import to prevent the possible loss of vision.
Objective: In this study clinical findings of patients, who diagnosed with IIH in Duzce Univesity Research and Teaching Hospital Neurology Clinic were investigated. Materials and Methods: Treatment and follow-up of 23 patients were examined with diagnosis of IIH from the records. The study was based on modified Dandy criteria. The patients who were performed lumbar puncture and were done cranial imaging included in the study. Results: The patients diagnosed with IIH were 78.3% female and 21.7% male. The most common reason for admission was headache and it was accompanied by blurred vision, visual of limitation, temporary loss of vision, eye pain, double vision, nausea, dislike of light, dizziness and tinnitus. 60.9% of the patients were obese. Five patients without papilledema were diagnosed with IIH. The cranial imagings were in normal limits except for empty cella. In treatment, the patients were given acetozolamide, methylprednisolone and/or topiramate. The follow-up period was arranged in 3-6 months. In the process, there were not any patients who had loss of vision. Conclusion: Continuity in atypical cases of headache, if they have obesity, there should be further examination in mind of an IIH diagnosis. Early diagnosis and treatment are import to prevent the possible loss of vision.
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Düzce Tıp Fakültesi Dergisi
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Cilt
14
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2
