[fr] On entend généralement par «pseudotumor cerebri» un syndrome regroupant des signes et symptômes d’hypertension intracrânienne (HTIC), une élévation de la pression du liquide céphalo-rachidien (LCR) et une composition normale de ce dernier, le tout en l’absence d’anomalie intracrânienne identifiée, en particulier par neuro-imagerie. Bien que la forme «idiopathique» du syndrome soit la plus fréquente, il existe des formes secondaires, où une cause peut être retrouvée. L’appellation «hypertension intracrânienne bénigne» est à proscrire, car une altération irréversible de la vision peut compliquer l’affection. Cette catastrophe peut être évitée par la reconnaissance et le traitement médical ou chirurgical précoces de la maladie. Après une mise au point terminologique, cet article parcourt les aspects cliniques, diagnostiques et thérapeutiques du syndrome. [en] «Pseudotumor cerebri» generally refers to a syndrome associating signs and symptoms of intracranial hypertension, increased cerebrospinal fluid (CSF) pressure and normal CSF composition, without any identifiable intracranial abnormality, particularly by neuroimaging studies. Although the «idiopathic» variant of the syndrome is most common, there are secondary forms where a cause can be found. The term «benign intracranial hypertension» should be abandoned, since permanent visual impairment can complicate the condition. This disaster can be avoided by early recognition and medical or surgical treatment of the disease. This article discusses the terminology, as well as diagnostic and therapeutic aspects of the syndrome.
Disciplines :
Surgery Neurology
Author, co-author :
Timmermans, Grégory ; Centre Hospitalier Universitaire de Liège - CHU > Département de médecine interne > Service de neurologie
Scholtes, Félix ; Centre Hospitalier Universitaire de Liège - CHU > Département de chirurgie > Service de neurochirurgie
ANDRIS, Cécile ; Centre Hospitalier Universitaire de Liège - CHU > Autres Services Médicaux > Service d'ophtalmologie
MARTIN, Didier ; Centre Hospitalier Universitaire de Liège - CHU > Département de chirurgie > Service de neurochirurgie
Language :
French
Title :
Le syndrome "pseudotumor cerebri" primaire ou hypertension intracrânienne idiopathique : aspects cliniques et thérapeutiques
Alternative titles :
[en] Primary "pseudotumor cerebri" syndrome or idiopathic intracranial hypertension : clinical features and treatment
Publication date :
October 2015
Journal title :
Revue Médicale de Liège
ISSN :
0370-629X
eISSN :
2566-1566
Publisher :
Université de Liège. Revue Médicale de Liège, Belgium
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