Psödotümör Serebri Sendromuna Neden Olmuş Çökme Kırığı

Özet

Psödotümör serebri sendromu, etiyolojisi bilinmeyen, yüksek intrakranial basınçla seyreden nadir bir hastalıktır. Belirtileri ve semptomları iyi tanımlanmıştır ancak patogenezi hala bir gizemdir. Kanıtların çoğu, beyin omirilik sıvı çıkışına karşı artan direncin, hastalığın oluşumunda önemli bir etken olduğunu göstermektedir. Genetik faktörler, obezite, bazı ilaçlar, sinüs ven trombozlar ve kan basıncı ile ilişkili durumlar bu hastalığın gelişiminde rol oynayabilir. Olgumuz travma sonrası çökme kırığı olan hasta şiddetli baş ağrısı ve bulanık görme şikâyetleri ile geldi. Hastanın bakılan görüntülemesinde oksipital bölgede olan çökme kırığının sagital sinüsün akımını engellediği gözlendi. Sinüs ven trombozu gibi psödotümör serebriye neden olmuş bu nadir olguyu litratür eşliğinde tartışmayı amaçladık. 

Referanslar

Friedman DI, Quiros PA, Subramanian PS, et al. Headache in idiopathic intracranial hypertension: Findings from the Idiopathic Intracranial Hypertension Treatment Trial. Headache 2017;57(8):1195–205.

McClusky G, Doherty-Allan R, McCarron P, et al. Meta-analysis and systemic re-view of population based epidemiological studies in idiopathic intracranial hy-pertension. Eur J Neurol 2018;25(10):1218–27.

Bateman DE, Wingrove B. Comparison of the range of lumbar cerebrospinal flid pressure in adults with normal cerebrospinal fluid pressure and in idiopathic intracranial hypertension. J Neuroophthlamol 2022;42:502–4.

Essibayi MA, Oushy SH, Lanzino G, et al. Venous causes of pulsatile tinnitus: clinical presentation, clinical and radiographic evaluation, pathogenesis, and endovascular treatments: A literature review. Neurosurgery 2021;89(5):760–8.

Al-Hashel JY, Ismail II, Ibrahim M, et al. Demographics, clinical characteristics and management of idiopathic intracranial hypertension in Kuwait: A single-center experience. Front Neurol 2020;11:672.

Wang MTM, Prime ZJ, Xu W, et al. Diagnostic performance of neuroimaging in suspected idiopathic intracranial hypertension. J Clin Neurosci 2022;96:56–60.

Mollen SP, Grech O, Sinclair AJ. Headache attributed to idiopathic intracranial hypertension and persistent post-idiopathic intracranial hypertension: A narrative review. Headache 2021;61(6):808–16.

Korsbæk JJ, Jensen RH, Høgedal L, et al. Diagnosis of idiopathic intracranial hypertension: A proposal for evidence-based diagnostic criteria. Cephalalgia 2023;43(4). 333102431152795.

Kamboj A, Brown MM, Abel AS. Intracranial hypertension associated with testosterone therapy in female-to-male trangender patients: A case report and literature review. Semin Ophthalmol 2023;38(6):559–64.

Eshtaighi A, Zaslavsky K, Nicholson P, et al. Extent of transverse sinus stenosis does not predict visual outcomes in idiopathic intracranial hypertension. Eye 2022;36:1390–5.

Zetchi A, Labeyrie M-A, Nicolini E, et al. Empty sella is a sign of symptomatic lateral sinus stenosis and not intracranial hypertension. Am J Neuroradiol 2019;40(10):1694–700.

Zhao K, Gu W, Liu C, et al. Advances in the understanding of the complex role of venous sinus stenosis in idiopathic intracranial hypertension. J Magn Reson Imag 2022;56(3):545–54.

Schmickl CN, Owens RL, Orr JE, et al. Side effects of acetazolamide: a systemic review and meta-analysis assessing overall risk and dose dependence. BMJ Open Respir Res 2020;7(1): e000557.

Krajnc N, Itariu B, Macher S, et al. Treatment with GLP-1 receptor agonists is associated with significant weight loss and headache outcomes in idiopathic intracranial hypertension. J Headache Pain 2023;24(1):89.

Salih M, Enriquez-Marulanda A, Khorasanizedeh M, et al. Cerebrospinal fluid shunting for idiopathic intracranial hypertension: A systematic review, meta-analysis, and implications for a modern management protocol. Neurosurgery 2022;91:529–40.

Azad TD, Shang Y, Varshneya K, et al. Lumboperitoneal and ventriculoperitoneal shunting for idiopathic intracranial hypertension demonstrate comparable failure and complication rates. Neurosurgery 2020;86(2):272–80.

Santos RC, Gupta B, Santiago RB, et al. Endoscopic endonasal optic nerve sheath decompression (EONSD) for idiopathic intracranial hypertension: Technical details and meta-analysis. Clin Neurol Neurosurg 2023;229:107750.

El-Masri S, Wilson M, Goh J, et al. A 20-year multicentre retrospective review of optic nerve sheath fenestration outcomes. Ther Adv Neurol Disord 2023;16.17562864231197994.

Akhter A, Schulz L, Inger HE, et al. Current indications for management options in pseudotumor cerebri. Neurol Clin 2022;40(2):391–404.

Sayfalar

45-52

Gelecek

28 Mart 2025

Lisans

Lisans