Pseudotumor lefu la cerebri

Pseudotumor cerebri syndrome ke boemo boo khatello ea ka har'a lehata e eketsehang. Boko bo ameha ka tsela eo boemo bo bonahalang bo le ka eona, empa e se hlahala.

Boemo bona bo hlaha khafetsa ho basali ho feta banna, haholo basali ba banyane ba nang le botenya ho tloha ho lilemo tse 20 ho isa ho tse 40. Ke ka seoelo maseeng empa e ka hlaha ho bana. Pele ho kena bohlankaneng kapa boroetsaneng ho etsahala ka ho lekana ho bashanyana le banana.

Lebaka ha le tsejoe.

Meriana e meng e ka eketsa menyetla ea ho ba le boemo bona. Meriana ena e kenyelletsa:

• Amiodarone
• Lipilisi tsa thibelo ea bokhachane tse kang levonorgestrel (Norplant)
• Cyclosporine
• Cytarabine
• Hormone ea kholo
• Isotretinoin
• Levothyroxine (bana)
• Lithium carbonate
• Minocycline
• Nalidixic acid
• Nitrofurantoin
• Phenytoin
• Li-steroid (ho li qala kapa ho li emisa)
• Sulfa lithibela-mafu
• Tamoxifen
• Tetracycline
• Meriana e meng e nang le Vitamin A, joalo ka cis-retinoic acid (Accutane)

Lintlha tse latelang li boetse li amana le boemo bona:

• Down syndrome
• Lefu la Behcet
• Ho hloleha ha liphio ho sa foleng
• Mathata a Endocrine (hormone) joalo ka lefu la Addison, Cushing disease, hypoparathyroidism, polycystic ovary syndrome
• Ho latela kalafo (embolization) ea ho senyeha ha methapo
• Maloetse a tšoaetsanoang a kang HIV / AIDS, lefu la Lyme, a latela khopo ho bana
• Khaello ea khaello ea tšepe
• Botenya
• Ho thibela ho koaleha moea ka nakoana borokong
• Boimana
• Sarcoidosis (ho ruruha ha li-lymph nodes, matšoafo, sebete, mahlo, letlalo kapa lisele tse ling)
• Sesebelisoa sa lupus erythematosis
• Turner lefu

Matšoao a ka kenyelletsa efe kapa efe ea tse latelang:

• Ho opeloa ke hlooho, ho tsitsipana, letsatsi le letsatsi, ho sa tloaelehang le hobe hoseng
• Bohloko ba molala
• Pono e lerootho
• Molumo o lerata litsebeng (tinnitus)
• Botsoa
• Pono e habeli (diplopia)
• Ho nyekeloa ke pelo, ho hlatsa
• Mathata a pono joalo ka ho khanya kapa ho felloa ke pono
• Mahlaba a morao haholo, a phatsimang maotong ka bobeli

Ho opeloa ke hlooho ho ka mpefala nakong ea boikoetliso ba 'mele, haholo ha o tiisa mesifa ea mpa nakong ea ho khohlela kapa ho ts'oara.

Mofani oa tlhokomelo ea bophelo o tla etsa tlhahlobo ea 'mele. Lipontšo tsa boemo bona li kenyelletsa:

• Ho bulging anterior fontanelle ho masea
• Boholo ba hlooho
• Ho ruruha ha methapo ea optic ka morao ho leihlo (papilledema)
• Ho retelehela ka hare ho leihlo nko (cranial ea botšelela, kapa ho koala, lefu la methapo)

Le ha ho na le khatello e eketsehileng ka lehata, ha ho na phetoho ea ho falimeha.

Liteko tse ka etsoang li kenyelletsa:

• Tlhahlobo ea Funduscopic
• Tlhatlhobo ea hlooho ea CT
• Tlhahlobo ea mahlo, ho kenyeletsoa le tlhahlobo ea tšimo ea pono
• MRI ea hlooho e nang le MR venography
• Lumbar puncture (pompo ea mokokotlo)

Tlhahlobo e etsoa ha maemo a mang a bophelo bo botle a nkuoa. Tsena li kenyelletsa maemo a ka bakang khatello e eketsehileng ka lehata, joalo ka:

• Hydrocephalus
• Hlahala
• Venous sinus thrombosis

Kalafo e reretsoe sesosa sa pseudotumor. Morero oa mantlha oa kalafo ke ho boloka pono le ho fokotsa ho teba ha hlooho.

Ho phunya lumbar (pompong ea mokokotlo) ho ka thusa ho imolla khatello bokong le ho thibela mathata a pono. Ho pheta-pheta li-lumbar ho thusa basali ba bakhachane e le ho liehisa ho buuoa ho fihlela kamora 'pelehi.

Mefuta e meng ea kalafo e ka kenyelletsa:

• Thibelo ea metsi kapa ea letsoai
• Meriana e kang corticosteroids, acetazolamide, furosemide le topiramate
• Mekhoa ea ho koala ho imolla khatello ho tsoa mokokotlong oa mokelikeli oa mokokotlo
• Ho buoa ho fokotsa khatello ea methapo ea mahlo
• Ho fokotsa boima ba 'mele
• Kalafo ea lefu lena le ka sehloohong, joalo ka vithamine A ho feta tekano

Batho ba tla hloka hore pono ea bona e beoe leihlo ka hloko. Ho ka ba le tahlehelo ea pono, eo ka linako tse ling e tšoarellang. Litekanyetso tsa MRI kapa tsa CT tse latelang li ka etsoa ho felisa mathata a joalo ka lihlahala kapa hydrocephalus (mokelikeli o mongata ka har'a lehata).

Maemong a mang, khatello e kahare ho boko e lula e phahame ka lilemo tse ngata. Matšoao a ka khutla ho batho ba bang. Palo e nyane ea batho e na le matšoao a ntseng a mpefala butle butle mme a lebisa bofofu.

Boemo ka linako tse ling bo nyamela bo le bong ka hare ho likhoeli tse 6. Matšoao a ka khutla ho batho ba bang. Palo e nyane ea batho e na le matšoao ao butle-butle a mpefalang 'me a lebisa bofofu.

Ho lahleheloa ke pono ke bothata bo tebileng ba boemo bona.

Bitsa mofani oa hau haeba uena kapa ngoana oa hau le na le matšoao a boletsoeng kaholimo.

Idiopathic intracranial khatello ea kelello; Benign e sa sebetsaneng le khatello ea kelello ea meriana

• Sisteme ea methapo e bohareng le methapo ea methapo

Ngaka Miller. Pseudotumor cerebri. Ka: Winn HR, e hlophisitsoeng. Phekolo ea Youmans le Winn Neurological. La 7th. Philadelphia, PA: Elsevier; 2017: khaolo ea 164.

Rosenberg GA. Edema ea boko le mathata a tsamaiso ea mokelikeli oa cerebrospinal. Ka: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, bahlophisi. Neurology ea Bradley ho Tloaelo ea Bongaka. La 7th. Philadelphia, PA: Elsevier; 2016: khaolo ea 88.

Varma R, Williams SD. Neurology. Ka: Zitelli BJ, McIntire SC, Nowalk AJ, li-eds. Zitelli le Davis ’Atlas of Pediatric Physical Diagnosis. La 7th. Philadelphia, PA: Elsevier, 2018: khaolo ea 16.