Pseudotumor cerebri syndrome

Pseudotumor cerebri syndrome o se tulaga e faʻateleina ai le mamafa i totonu o le ulu. O le faiʻai e afaina i se auala e foliga mai ai le tulaga, ae leai, o se tumo.

O le tulaga e tupu soo i fafine nai lo tamaloloa, aemaise lava i fafine laiti lapopoʻa 20 i le 40 tausaga. E seasea tupu i pepe ae mafai ona tupu i tamaiti. A o le i talavou, e tupu tutusa i tama ma teine.

E le o iloa le mafuaʻaga.

O ni vailaʻau e mafai ona faʻateleina ai le ono maua o lenei tulaga. O nei vailaʻau aofia ai:

• Amiodarone
• Fanau fualaʻau fualaʻau pei o le levonorgestrel (Norplant)
• Cyclosporine
• Cytarabine
• Toto tuputupu ae
• Isotretinoin
• Levothyroxine (fanau)
• Lithium carbonate
• Minocycline
• Nalidixic acid
• Nitrofurantoin
• Phenytoin
• Steroids (amataina pe taofiina latou)
• Sulfa fualaʻau
• Tamoxifen
• Tetracycline
• Nisi vailaʻau e aofia ai Vitamini A, pei o le cis-retinoic acid (Accutane)

O mea nei e fesoʻotaʻi foʻi ma lenei tulaga:

• Down syndrome
• Faʻamaʻi i tua
• Paʻu fatugaʻo
• Endocrine (hormone) faʻafitauli pei o Addison faʻamaʻi, Cushing faamaʻi, hypoparathyroidism, polycystic ovary syndrome
• Mulimuli togafitiga (embolization) o se arteriovenous malformation
• O faʻamaʻi pipisi e pei o le HIV / AIDS, faʻamaʻi o le Lyme, mulimuli atu i le tanesusu i tamaiti
• Uʻamea le lava anemia
• Puta tele
• Faʻalavelave moe moe
• Maitaga
• Sarcoidosis (mumu o le lymph nodes, mama, ate, mata, paʻu, poʻo isi mea)
• Eicthematosis faʻapipiʻi lupus
• Turner syndrome

Faʻailoga mafai ono aofia ai soʻo se tasi o mea nei:

• Ulu o le ulu, tataʻituina, aso uma, le masani ai ma sili atu le leaga i le taeao
• Tiga o le ua
• Faʻaaliga le malamalama
• Leo i taliga (tinnitus)
• Faanenefu
• Vaʻaia lua (diplopia)
• Faanoi, puaʻi
• Faʻafitauli vaʻai pei o le emo pe a leiloa le vaʻai
• Paʻu maualalo tua, susulu i vae uma e lua

O le tiga o le ulu e mafai ona sili atu le leaga i le taimi o faʻamalositino, aemaise lava pe a e faʻamalosia maso o le manava i le taimi o le tale pe faʻapipiʻi.

E faʻataʻitaʻi e le tausi soifua le suʻega o le tino. Faailoga o lenei tulaga aofia ai:

• Pupuʻu i luma luma fontanelle i pepe
• Faateleina le lapoʻa o le ulu
• Fulafula o neura optic i tua o le mata (papilledema)
• Lili i totonu o le mata agai i le isu (lona ono cranial, poʻo abducens, neura palsy)

Tusa lava pe o le faʻateleina o le unaʻi o le ulu, e leai se suiga o le mataala.

O suʻega e mafai ona faia e aofia ai:

• Suesuega Funduscopic
• CT scan o le ulu
• Suʻega o mata, e aofia ai ma faʻataʻitaʻiga vaʻai vaʻai
• MRI o le ulu ma MR vaʻaia
• Lumbar puncture (tuaina tap)

O faʻamaoniga e faia pe a faʻamamaina isi faʻafitauli tau soifua maloloina. O loʻo iai ma tuʻutuʻuga e ono tupu ai le faʻateteleina ole mamafa ile ulu, pei o:

• Hydrocephalus
• Tumua
• Trombosis sinusu matautia

Togafitiga e faʻatatau i le mafuaʻaga o le pseudotumor. O le autu faʻamoemoe o togafitiga o le faʻasaoina o vaʻai ma faʻaititia le ogaoga o le ulu ulu.

O le faʻapipiʻiina o le lumbar (spinal tap) e mafai ona fesoasoani e faʻamalolo le omiga i le faiʻai ma puipuia ai faʻafitauli tau vaʻai. Faʻaaoga lumbar punctures e aoga mo fafine maʻitaga ina ia faʻatuai ai le taotoga seia maeʻa ona fanauina.

Isi togafitiga ono aofia ai:

• Faasaina o le suavai po o le masima
• Vailaau e pei o le corticosteroids, acetazolamide, furosemide, ma le topiramate
• Faʻagasologa o faʻalavelave e faʻateʻa ai le omiga mai le faʻasolo o le suavai i tua
• Taotoga e faʻamamaina ai le mamafa i luga o le neura optic
• Paʻu pauna
• Togafitiga o le mafuaʻaga faʻamaʻi, pei o vitamini A soʻona inu

E manaʻomia e tagata le vaʻai totoʻa o a latou vaʻai. E i ai le mafai ona vaʻai mata, lea o nisi taimi e tumau. Faʻataʻitaʻi MRI poʻo CT scans ono faia e faʻateʻa ai faʻafitauli pei o tumors poʻo le hydrocephalus (faʻaputuputuina o suavai i totonu o le ulupoo)

I nisi tulaga, o le mamafa i totonu o le faiʻai tumau pea maualuga mo le tele o tausaga. Faʻailoga e mafai ona toe foi i nisi tagata. O se toʻatele numera o tagata o loʻo i ai faʻailoga e faifai malie ona leaga ma taitai atu ai i le tauaso.

O le tulaga taimi mou ese na o ia lava i totonu o le 6 masina. Faʻailoga e mafai ona toe foi i nisi tagata. O se toʻatele numera o tagata o loʻo i ai faʻailoga e faifai malie ona leaga ma taitai atu ai i le tauaso.

O le leiloa o se vaʻai o se faigata faigata o lenei tulaga.

Valaʻau lau tautua pe a fai o oe poʻo lau tama o loʻo i ai ni faʻailoga ua lisiina i luga.

Toto maualuga intracranial Idiopathic; Toto maualuga intracranial toto maualuga

• Nofoʻaga popolevale ma faiga lautele neula

Miller NR Pseudotumor cerebri. I le: Winn HR, ed. Youmans ma Winn Neurological taotoga. 7th ed. Filatelefia, PA: Elsevier; 2017: mata 164.

Rosenberg GA. O le edema o le faiʻai ma faʻafitauli o le faʻasalalauina o le suavai o le cerebrospinal. I totonu: Daroff RB, Jankovic J, Mazziotta JC, Pomeroy SL, eds. Bradley's Neurology i Fomaʻi Faʻataʻitaʻi. 7th ed. Filatelefia, PA: Elsevier; 2016: mata 88.

Varma R, Williams SD. Neurology I: Zitelli BJ, McIntire SC, Nowalk AJ, eds. Zitelli ma Davis 'Atlas o Pediatric Physical Diagnosis. 7th ed. Filatelefia, PA: Elsevier, 2018: mata 16.