Pseudotumor cerebri syndrome

Pseudotumor cerebri syndrome ndiyo mamiriro umo kumanikidza mukati mehenya kunowedzerwa. Uropi hunokanganiswa nenzira iyo mamiriro acho anoita kunge ari, asi asiri, bundu.

Mamiriro acho anowanzoitika kuvakadzi kupfuura varume, kunyanya muvakadzi vechidiki vakafutisa vane makore makumi maviri kusvika makumi mana ekuberekwa. Izvo hazviwanzo muvacheche asi zvinogona kuitika muvana. Usati wakura, zvinoitika zvakaenzana muvakomana nevasikana.

Chikonzero hachizivikanwe.

Mimwe mishonga inogona kuwedzera njodzi yekuvandudza mamiriro aya. Iyi mishonga inosanganisira:

• Amiodarone
• Kuberekwa kwepiritsi mapiritsi akadai sevonorgestrel (Norplant)
• Cyclosporine
• Cytarabine
• Kukura kemikari
• Isotretinoin
• Levothyroxine (vana)
• Lithium carbonate
• Minocycline
• Nalidixic acid
• Nitrofurantoin
• Phenytoin
• Steroid (kutanga kana kuvamisa)
• Sulfa mishonga inorwisa mabhakitiriya
• Tamoxifen
• Tetracycline
• Mimwe mishonga ine Vitamin A, senge cis-retinoic acid (Accutane)

Zvinhu zvinotevera zvine chekuita nemamiriro aya:

• Down chirwere
• Behcet chirwere
• Kusingaperi itsvo kutadza
• Endocrine (mahormone) kusagadzikana senge Addison chirwere, Cushing chirwere, hypoparathyroidism, polycystic ovary syndrome
• Ichitevera kurapwa (embolization) yearteriovenous malformation
• Zvirwere zvinotapukira zvakadai seHIV / AIDS, chirwere cheLyme, zvichitevera chickenpox muvana
• Iron kushomeka anemia
• Kufutisa
• Kurambidza kufema kufema
• Kubata pamuviri
• Sarcoidosis (kuzvimba kwema lymph node, mapapu, chiropa, maziso, ganda, kana zvimwe zvinyama)
• Systemic lupus erythematosis
• Turner chirwere

Zviratidzo zvinogona kusanganisira chero zvinotevera:

• Kutemwa nemusoro, kupwanya, zuva nezuva, zvisina kujairika uye zvakanyanya mangwanani
• Neck kurwadziwa
• Kuona kwakashata
• Kurira kurira munzeve (tinnitus)
• Dzungu
• Kuona kaviri (diplopia)
• Nausea, kurutsa
• Zviratidzo zvekuona senge kupenya kana kunyange kurasikirwa kwemaonero
• Kutambudzika kwekudzokera shure, kupenya pamwe chete nemakumbo ese

Kutemwa nemusoro kunogona kuwedzera panguva yekurovedza muviri, kunyanya kana uchisimbisa mhasuru dzemudumbu panguva yekukosora kana kumanikidza.

Anopa hutano anoita bvunzo dzepanyama. Zviratidzo zveichi chiitiko zvinosanganisira:

• Kubhururuka anterior fontanelle mune vacheche
• Yakawedzera saizi yemusoro
• Kuzvimba kweiyo optic nerve kumashure kweziso (papilledema)
• Mukati kutendeuka kweziso kumhino (yechitanhatu cranial, kana kubvisa, nerve palsy)

Kunyangwe paine kuwedzerwa kumanikidza mu dehenya, hapana shanduko mukusvinura.

Miedzo inogona kuitwa inosanganisira:

• Funduscopic bvunzo
• CT scan yemusoro
• Kuongorora kwemaziso, kusanganisira kuongorora kwekuona munda
• MRI yemusoro neMR venography
• Lumbar puncture (musana tap)

Kuongororwa kunoitwa kana mamwe mamiriro ehutano akatarisirwa kunze. Izvi zvinosanganisira mamiriro anogona kukonzeresa kumanikidza mu dehenya, senge:

• Hydrocephalus
• Bundu
• Venous sinus thrombosis

Kurapa kunoitirwa chikonzero chepseudotumor. Chinangwa chikuru chekurapa ndechekuchengetedza kuona uye kudzikamisa kuomarara kwemusoro.

Lumbar puncture (spinal tap) inogona kubatsira kudzikamisa kumanikidza muuropi uye kudzivirira matambudziko ekuona. Dzokorora lumbar punctures anobatsira vakadzi vane nhumbu kuitira kunonoka kuvhiyiwa kusvika mushure mekusununguka.

Mimwe mishonga inogona kusanganisira:

• Kurambidza kwemvura kana munyu
• Mishonga yakadai secorticosteroids, acetazolamide, furosemide, uye topiramate
• Shunting maitiro ekudzoreredza kumanikidza kubva kumusana wemvura kuvaka
• Kuvhiya kuti ubvise kumanikidza kwetsinga yemaziso
• Kuonda
• Kurapa kwechirwere chiri pasi, senge vhitamini A ovhadhozi

Vanhu vachazoda kuti chiono chavo chitariswe kwazvo. Panogona kuve nekurasikirwa kwekuona, uko dzimwe nguva kunogara zvachose. Kutevera-up MRI kana CT zviyero zvinogona kuitwa kutonga kunze kwezvinetso zvakaita semamota kana hydrocephalus (buildup yemvura mukati medehenya).

Mune zvimwe zviitiko, kumanikidza mukati mehuropi kunoramba kwakakwira kwemakore mazhinji. Zviratidzo zvinogona kudzoka mune vamwe vanhu. Chiverengero chidiki chevanhu vane zviratidzo zvinononoka kuwedzera uye zvinotungamira kuhupofu.

Mamiriro acho dzimwe nguva anonyangarika ega mukati memwedzi mitanhatu. Zviratidzo zvinogona kudzoka mune vamwe vanhu. Chiverengero chidiki chevanhu vane zviratidzo zvinononoka kuwedzera uye zvinotungamira kuhupofu.

Chiratidzo kurasikirwa kurasikirwa kwakakomba kweichi chiitiko.

Fonera waunopa kana iwe kana mwana wako muine chero zviratidzo zvakanyorwa pamusoro.

Idiopathic intracranial neBP; Benign kusagadzikana kweBP

• Central nervous system uye yekumusoro tsinga system

Miller NR. Pseudotumor cerebri. Mune: Winn HR, ed. Youmans uye Winn Neurological Kuvhiya. 7th ed. Philadelphia, PA: Elsevier; 2017: chits. 164.

Rosenberg GA. Brain edema uye kusagadzikana kwecerebrospinal fluid kutenderera. Mune: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology muClinical Dzidzira. 7th ed. Philadelphia, PA: Elsevier; 2016: chits 88.

Varma R, Williams SD. Neurology. Mune: Zitelli BJ, McIntire SC, Nowalk AJ, eds. Zitelli naDavis 'Atlas yePediatric Panyama Kuongorora. 7th ed. Philadelphia, PA: Elsevier, 2018: chitsiko 16.