Аннотация
To study ophthalmological symptoms in patients with intracranial hypertension.
A total of 105 patients with various stages of intracranial pressure development were analyzed.
All patients underwent a full neuro-ophthalmological examination in the hospital.
We revealed the presence of congestion in the vessels of the fundus in 79 (74,5%) patients. And in the rest 26 (25,5%), we revealed one or another pathology in the eyelids, as well as motor-pupillary disorders. Of the 79 patients examined, 26 (25,5%) had dilated retinal veins, indicating venous congestion. In the majority of patients – 51 (64,6%) – ophthalmoscopy revealed edematous changes in the optic disc, consistent with the initial stage of optic disc congestion.
In 74,5% of hypertensive syndrome, hemodynamics in the retinal veins is disrupted, which leads to congestion in the fundus. In the remaining 25,5% of cases, changes were found in the motor pupillary and sensory organs of the eyeball.
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Список литературы
- McCluskey G, Doherty-Allan R, McCarron P, et al. Meta-analysis and systematic review of population-based epidemiological studies in idiopathic intracranial hypertension. Eur J Neurol. 2018;25:1218–1227. DOI: 10.1111/ene.13739.
- Bessmertnyy MZ. K mekhanizmu vozniknoveniya zastoynogo diska zritelnogo nerva v ostrom periode zakrytoy cherepno-mozgovoy travmy [On the mechanism of development of papilledema in the acute period of closed traumatic brain injury]. Vestn Oftalmol (Ophthalmic Journal). 2000;(1):36–38. (In Russ.)
- Eliseeva NM, Serova NK, Shifrin MA. Ultrazvukovoe issledovanie zritelnykh nervov pri vnutricherepnoy gipertenzii [Ultrasonographic examination of optic nerves in intracranial hypertension]. Vestn Oftalmol (Ophthalmic Journal). 2008;(6):29–33. (In Russ.)
- Eliseeva NM, Serova NK. Zastoynye diski zritelnykh nervov i ikh differentsialnaya diagnostika [Papilledema and its differential diagnosis]. Tver: Triada; 2018:308–343. (In Russ.)
- Barkatullah AF, Leishangthem L, Moss HE. MRI findings as markers of idiopathic intracranial hypertension. Curr Opin Neurol. 2021;34(1):75–83. DOI: 10.1097/WCO.0000000000000885.
- Eliseeva NM, Serova NK, Arutyunov NV. Magnitno-rezonansnaya tomografiya orbitalnogo otrezka zritelnogo nerva pri razlichnykh stadiyakh zastoynogo diska zritelnogo nerva [MRI of the orbital segment of the optic nerve at different stages of papilledema]. Vestn Oftalmol (Ophthalmic Journal). 2005;(6):5–9. (In Russ.)
- Kiseleva TN, Zaytsev MS, Ramazanova KA, Lugovkina KV. Vozmozhnosti tsvetovogo dupleksnogo skanirovaniya v diagnostike sosudistoy patologii glaza [Color duplex scanning in ocular vascular pathology]. Rossiyskiy oftalmologicheskiy zhurnal. 2018;(3):84–94. DOI: 10.21516/2072-0076-2018-11-3-84-94. (In Russ.)
- Ustymowicz A, Mariak Z, Weigele J, et al. Normal reference intervals and ranges of side-to-side and day-to-day variability of ocular blood flow Doppler parameters. Ultrasound Med Biol. 2005;31(7):895–903. DOI: 10.1016/j.ultrasmedbio.2005.03.013.