JAMA Neurology-偶发的颅内高压,或不建议腰椎穿刺

2021-07-24 Freeman MedSci原创

偶发的颅内高压,或不建议腰椎穿刺

磁共振成像(MRI)检测到的颅内高压(IH)体征,如空蝶鞍(empty sella)、眼周脑脊液(CSF)增加、视神经迂曲和横纹静脉窦狭窄(TVSS),通常与特发性颅内高压(IIH)有关,但也存在于原发性头痛综合征患者和无症状者中。

据估计,在普通患者群体中,空壳的发病率在8%至35%之间,在女性和肥胖者中更为常见。空性脑膜往往自动与IIH相关联,IIH是一种原因不明的慢性IH疾病,表现为头痛、乳头水肿(即颅内压增高引起的椎间盘水肿),如果不治疗的话,还会因乳头水肿而导致视力下降。

偶然发现有IH的MRI迹象(incidentally detected MRI signs )的患者经常被转诊到神经科或神经眼科就诊,并经常因为担心IIH而接受有创检查程序,如腰椎穿刺。

由于诊断错误,如不准确的眼底检查和认知偏差,IIH的过度诊断经常发生在患有慢性头痛的肥胖妇女中。考虑到IIH和肥胖之间的关联,这种常见的不准确诊断令人担忧,特别是因为估计表明,到2030年,大约50%的美国成年人将是肥胖者。

2002年至2016年期间,英格兰的IIH发病率增加了一倍,相应的入院人数增加了442%,直接医疗费用增加了6倍。在接受脑部MRI检查的患者中,IH的放射学迹象的流行率目前尚不清楚。

藉此, 埃默里大学的Benson S. Chen等人前瞻性地探究了IH的MRI征兆的流行率和重要性,以及它们与因任何临床指征而接受脑部影像检查的门诊患者中,是否存在乳头水的关系。

他们在2019年8月1日至2020年3月31日期间,对门诊影像机构接受脑部MRI检查的门诊患者进行了这项前瞻性横断面研究,并同时拍摄眼底照片。对接受脑部MRI检查并能参与眼底摄影的连续成年患者的放射影像进行分析,以了解IH的MRI迹象。

主要临床结局:IH的MRI征兆的流行率和眼底照片上检测到的乳头水肿的流行率。IH的放射学征象包括空蝶鞍、视神经头突出、后巩膜变平、眼周脑脊液增加、视神经迂回、Meckel洞扩大、头骨、小脑扁桃体下降和双侧横静脉窦狭窄。

共有388名患者接受了资格筛选;其中92名患者被排除在外。在纳入研究的296名患者中,中位年龄为49.5岁(四分位数范围,37.8-62.0岁),188名患者(63.5%)为女性。

MRI最常见的指征是监测脑肿瘤(82名患者[27.7%])。调查头痛(26名患者[8.8%])和颅内压紊乱(4名患者[1.4%])是不常见的。145名患者(49.0%)至少有1个IH的影像学标志。

在总共296名研究患者中,98名患者(33.1%)有空蝶鞍,47名患者(15.9%)有扩大的Meckel洞,32名患者(10.8%)有眼周脑脊液增加,23名患者(7.8%)有视神经扭转,2名患者(0.7%)有巩膜扁平,4名患者(1.4%)有头骨。

198名患者中有6名患者(3.0%)存在双侧横纹静脉窦狭窄。5名患者(1.7%)有视乳头水肿。

与没有乳头水肿的患者相比,患有乳头水肿的患者的体重指数和IIH病史明显较高,此外,MRI上检测到的空壳、视神经迂曲和横静脉窦狭窄的发生率也有所增加。

乳头水肿的发生率从至少有1个IH的MRI征兆的患者中的2.8%增加到有4个或更多IH的MRI征兆的患者中的40.0%。

这个研究的重要意义在于,发现了:IH的磁共振成像征象在接受脑部MRI检查的患者中很常见,但很少与乳头水肿相关。对偶然发现的IH征象的患者的管理可能不需要系统的腰椎穿刺,除非出现相关症状或乳头水肿。

 

原文出处:
Chen BS, Meyer BI, Saindane AM, Bruce BB, Newman NJ, Biousse V. Prevalence of Incidentally Detected Signs of Intracranial Hypertension on Magnetic Resonance Imaging and Their Association With Papilledema. JAMA Neurol. 2021 Jun 1;78(6):718-725. doi: 10.1001/jamaneurol.2021.0710. PMID: 33871552; PMCID: PMC8056310.

 

 

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    2022-05-01 yinhl1978
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    2021-09-15 周虎
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objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=旺医, createdTime=Sat Jul 24 08:25:26 CST 2021, time=2021-07-24, status=1, ipAttribution=)]
  4. 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level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8dbe5440153, createdName=ms4000000874114229, createdTime=Sat Jul 24 10:10:55 CST 2021, time=2021-07-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1002161, encodeId=c7da100216149, content=好文章,值得一读。, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJlfgys76DEiaNtbYo2re3ibjrUPTRibEXRyFwAB4aAGiave842S0FQDf0wAoaH226NiaSoPPDzhndsf1g/132, createdBy=88b489038, createdName=yangchou, createdTime=Sat Jul 24 08:59:00 CST 2021, time=2021-07-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1036759, encodeId=07651036e5923, content=顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息, beContent=null, 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  5. 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level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8dbe5440153, createdName=ms4000000874114229, createdTime=Sat Jul 24 10:10:55 CST 2021, time=2021-07-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1002161, encodeId=c7da100216149, content=好文章,值得一读。, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJlfgys76DEiaNtbYo2re3ibjrUPTRibEXRyFwAB4aAGiave842S0FQDf0wAoaH226NiaSoPPDzhndsf1g/132, createdBy=88b489038, createdName=yangchou, createdTime=Sat Jul 24 08:59:00 CST 2021, time=2021-07-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1036759, encodeId=07651036e5923, content=顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=旺医, createdTime=Sat Jul 24 08:25:26 CST 2021, time=2021-07-24, status=1, ipAttribution=)]
    2021-07-25 rgjl
  6. 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  7. 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level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85451, encryptionId=cf81854515c, topicName=腰椎穿刺)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=11b414099727, createdName=12499e01m51暂无昵称, createdTime=Sun Jul 25 20:25:26 CST 2021, time=2021-07-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1002376, encodeId=eeb010023e69d, content=非常受用, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210724/725901dc0ed249ebba9d096aacddde3f/a89b874e17434adb82b0c2dff5f374f1.jpg, createdBy=c0225555986, createdName=@gxl, createdTime=Sat Jul 24 19:44:07 CST 2021, time=2021-07-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1002177, encodeId=d1ed10021e7fb, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8dbe5440153, createdName=ms4000000874114229, createdTime=Sat Jul 24 10:10:55 CST 2021, time=2021-07-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1002161, encodeId=c7da100216149, content=好文章,值得一读。, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJlfgys76DEiaNtbYo2re3ibjrUPTRibEXRyFwAB4aAGiave842S0FQDf0wAoaH226NiaSoPPDzhndsf1g/132, createdBy=88b489038, createdName=yangchou, createdTime=Sat Jul 24 08:59:00 CST 2021, time=2021-07-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1036759, encodeId=07651036e5923, content=顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=旺医, createdTime=Sat Jul 24 08:25:26 CST 2021, time=2021-07-24, status=1, ipAttribution=)]
    2021-07-24 @gxl

    非常受用

    0

  8. 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level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85451, encryptionId=cf81854515c, topicName=腰椎穿刺)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=11b414099727, createdName=12499e01m51暂无昵称, createdTime=Sun Jul 25 20:25:26 CST 2021, time=2021-07-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1002376, encodeId=eeb010023e69d, content=非常受用, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210724/725901dc0ed249ebba9d096aacddde3f/a89b874e17434adb82b0c2dff5f374f1.jpg, createdBy=c0225555986, createdName=@gxl, createdTime=Sat Jul 24 19:44:07 CST 2021, time=2021-07-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1002177, encodeId=d1ed10021e7fb, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8dbe5440153, createdName=ms4000000874114229, createdTime=Sat Jul 24 10:10:55 CST 2021, time=2021-07-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1002161, encodeId=c7da100216149, content=好文章,值得一读。, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJlfgys76DEiaNtbYo2re3ibjrUPTRibEXRyFwAB4aAGiave842S0FQDf0wAoaH226NiaSoPPDzhndsf1g/132, createdBy=88b489038, createdName=yangchou, createdTime=Sat Jul 24 08:59:00 CST 2021, time=2021-07-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1036759, encodeId=07651036e5923, content=顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=旺医, createdTime=Sat Jul 24 08:25:26 CST 2021, time=2021-07-24, status=1, ipAttribution=)]
    2021-07-24 ms4000000874114229

    学习了

    0

  9. 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level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8dbe5440153, createdName=ms4000000874114229, createdTime=Sat Jul 24 10:10:55 CST 2021, time=2021-07-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1002161, encodeId=c7da100216149, content=好文章,值得一读。, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJlfgys76DEiaNtbYo2re3ibjrUPTRibEXRyFwAB4aAGiave842S0FQDf0wAoaH226NiaSoPPDzhndsf1g/132, createdBy=88b489038, createdName=yangchou, createdTime=Sat Jul 24 08:59:00 CST 2021, time=2021-07-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1036759, encodeId=07651036e5923, content=顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=旺医, createdTime=Sat Jul 24 08:25:26 CST 2021, time=2021-07-24, status=1, ipAttribution=)]
    2021-07-24 yangchou

    好文章,值得一读。

    0

  10. 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level=null, likeNumber=41, replyNumber=0, topicName=null, topicId=null, topicList=[TopicDto(id=85451, encryptionId=cf81854515c, topicName=腰椎穿刺)], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=11b414099727, createdName=12499e01m51暂无昵称, createdTime=Sun Jul 25 20:25:26 CST 2021, time=2021-07-25, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1002376, encodeId=eeb010023e69d, content=非常受用, beContent=null, objectType=article, channel=null, level=null, likeNumber=54, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=https://img.medsci.cn/20210724/725901dc0ed249ebba9d096aacddde3f/a89b874e17434adb82b0c2dff5f374f1.jpg, createdBy=c0225555986, createdName=@gxl, createdTime=Sat Jul 24 19:44:07 CST 2021, time=2021-07-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1002177, encodeId=d1ed10021e7fb, content=学习了, beContent=null, objectType=article, channel=null, level=null, likeNumber=45, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=8dbe5440153, createdName=ms4000000874114229, createdTime=Sat Jul 24 10:10:55 CST 2021, time=2021-07-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1002161, encodeId=c7da100216149, content=好文章,值得一读。, beContent=null, objectType=article, channel=null, level=null, likeNumber=42, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=http://thirdwx.qlogo.cn/mmopen/vi_32/Q0j4TwGTfTJlfgys76DEiaNtbYo2re3ibjrUPTRibEXRyFwAB4aAGiave842S0FQDf0wAoaH226NiaSoPPDzhndsf1g/132, createdBy=88b489038, createdName=yangchou, createdTime=Sat Jul 24 08:59:00 CST 2021, time=2021-07-24, status=1, ipAttribution=), GetPortalCommentsPageByObjectIdResponse(id=1036759, encodeId=07651036e5923, content=顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息, beContent=null, objectType=article, channel=null, level=null, likeNumber=43, replyNumber=0, topicName=null, topicId=null, topicList=[], attachment=null, authenticateStatus=null, createdAvatar=null, createdBy=f0620, createdName=旺医, createdTime=Sat Jul 24 08:25:26 CST 2021, time=2021-07-24, status=1, ipAttribution=)]
    2021-07-24 旺医

    顶刊就是顶刊,谢谢梅斯带来这么高水平的研究报道,我们科里同事经常看梅斯,分享梅斯上的信息

    0

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