The concept of benign intracranial hypertension
Benign intracranial hypertension -This increased intracranial pressure syndrome without signs of organic lesion of the central nervous system and hydrocephalus. There are also other names of this state: idiopathic intracranial hypertension, a false brain tumor, intracranial hypertension, non-tumor genesis.
Benign intracranial hypertensionsuffer usually young women are overweight. The main symptom of benign intracranial hypertension is a headache. She is accompanied by nausea and vomiting, unsteadiness when walking, pain in the eye socket and some other symptoms. All patients detected stagnation of the optic nerve. The reasons for this syndrome is completely unclear.
The main manifestations of the disease
Initially, the headache can be mild or moderate, self-terminated or analgesics can be easily removed. At this stage a doctor, patients are usually not treated.
Further, the progression occursa further increase in intracranial pressure, the intensity of the headache increases gradually acquires features of "hypertensive" - is bursting with character and often reaches considerable intensity.
Headaches in benigndiffuse intracranial hypertension (common), with a maximum tenderness in the frontal region are ongoing, but there are also periods of decreasing or increasing its intensity. Often gain headaches occur at night or in the morning after sleep. Particularly intensified headache when coughing, sneezing, bending the head down. Many patients complain of painful eye movement at this time, pain behind the eyeballs. In most patients, headaches accompanied by nausea and vomiting, unrelated to eating. Occasionally vomiting is caused by movement of the head, there is a sharp rising sick bed. After the cessation of vomiting headache for a short time decreases. In addition, the headache may be accompanied by unsteadiness in walking, ringing in the ears, the noise in my head, diplopia.
All the patients observed stagnation of the optic nerve. This is a formidable manifestation of the disease, which can lead to a dramatic reduction of visual acuity and ultimately, to blindness.
Diagnosis and treatment of diseases
Diagnosis of the disease is based on complaintspatients and is aimed primarily at identifying space-occupying lesions (tumors, cysts, and others.) and inflammatory diseases of the brain, optic neuritis, occlusive processes likvoroprovodyaschih ways.
In benign intracranial hypertensionassigned low-calorie diet with reduced salt. In some cases, loss of weight leads to an improvement of the disease. To this end, a program of weight loss and body shaping.
Correction is performed in intracranial pressureusing dehydrating agents and drugs suppressing the secretion of cerebrospinal fluid. The appearance or increase in complications requires timely establishment of indications for neurosurgical intervention. Currently used ventrikulo- and lyumboperitonealnoe bypass decompression optic nerve sheath.
Thus, when a headachescombined with the stagnation of the optic nerve, in obese women of young age is necessary to exclude the syndrome of benign intracranial hypertension. With timely appointment of proper treatment, the prognosis in most cases favorable.