{"id":71562,"date":"2017-11-09T12:31:13","date_gmt":"2017-11-09T12:31:13","guid":{"rendered":"http:\/\/humanitasnet-new.local\/malattie\/pseudotumor-cerebri-2\/"},"modified":"2025-01-13T03:00:02","modified_gmt":"2025-01-13T03:00:02","slug":"pseudotumor-cerebri","status":"publish","type":"disease","link":"https:\/\/humanitas-net.humweb.webiz.team\/sr\/diseases\/pseudotumor-cerebri\/","title":{"rendered":"Pseudotumor cerebri"},"content":{"rendered":"

Definicija<\/strong><\/h2>\n

Pseudotumor cerebri, poznatije kao idiopatska intrakranijalna hipertenzija, je stanje pove\u0107anog intrakranijalnog pritiska (pritiska unutar lobanje) koje nastaje kao rezultat preterane akumulacije ili nedovoljnog upijanja cerebrospinalne te\u010dnosti. Ovo stanje pove\u0107anog pritiska cerebrospinalne te\u010dnosti nepoznatog uzroka retko se javlja kod mu\u0161karaca. Pseudotumor cerebri je stanje od koga oboljevaju uglavnom mlade \u017eene koje pate od gojaznosti, kao i \u017eene pred menopauzom.<\/p>\n

Pseudotumor cerebri mo\u017ee izazvati oticanje opti\u010dkog nerva koje mo\u017ee dovesti do slepila ukoliko se ne le\u010di. Ovo je naj\u010de\u0161\u0107e posledica konstantnog pritiskanja opti\u010dkog nerva o zidove lobanje.<\/p>\n

Simptomi intrakranijalne hipertenzije se obi\u010dno otklanjaju lekovima koji smanjuju pritisak i oticanje. Retki su slu\u010dajevi \u017ee\u0161\u0107e hipertenzije, i mogu se regulisati samo putem operacije.<\/p>\n

 <\/p>\n

Simptomi<\/strong><\/h2>\n

Simptomi mogu znatno varirati od osobe do osobe, i mogu biti:<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Glavobolja<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Zamu\u0107en ili dupliran vid<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Mu\u010dnina i povra\u0107anje<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Vrtoglavica<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Zvonjenje ili pi\u0161tanje u u\u0161ima<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Slepilo<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Pote\u0161ko\u0107e sa vidom i pomeranjem o\u010diju<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Pojava blje\u0161tavog svetla u vidnom polju<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Bol u le\u0111ima, vratu i ramenima<\/p>\n

<\/h2>\n

Uzroci<\/strong><\/h2>\n

Iako jo\u0161 uvek nije poznat ta\u010dan uzrok idiopatske intrakranijalne hipertenzije, istra\u017eivanja su pokazala da je ovo oboljenje povezano sa funkcionisanjem cerebrospinalne te\u010dnosti.<\/p>\n

Mozak i ki\u010dmena mo\u017edina su sa svih strana okru\u017eeni cerebrospinalnom te\u010dno\u0161\u0107u. Ova te\u010dnost ima funkciju za\u0161tite mozga, ki\u010dmene mo\u017edine kao i drugih vitalnih delova tela i organa od povreda i udaraca. Cerebrospinalna te\u010dnost se proizvodi u mozgu i absorbuje se u krvotoku. Ukoliko do\u0111e do pove\u0107anja proizvodnje cerebrospinalne te\u010dnosti za vreme procesa absorbcije, mo\u017ee se stvoriti pritisak unutar lobanje i do\u0107i do oticanja. To dovodi do ozbiljnih komplikacija opti\u010dkog nerva koje mogu dovesti do slepila.<\/p>\n

 <\/p>\n

Faktori rizika<\/strong><\/h2>\n

Neki od faktora koji pove\u0107avaju rizik od idiopatske intrakranijalne hipertenzije su:<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Adisonova bolest<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Anemija<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Be\u0161etov sindrom<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Preterana gojaznost<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Problemi sa zgru\u0161avanjem krvi i podlo\u017enost trombovima<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Upotreba lekova koji sadr\u017ee vitamin A i Tetraklicin<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Hroni\u010dno zatajenje bubrega<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Ku\u0161ingova bolest<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Uzimanje hormona rasta<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Lupus<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Trudno\u0107a<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Zastoj disanja prilikom spavanja<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Smanjena aktivnost para\u0161titastih \u017elezda<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Uremija<\/p>\n

<\/h2>\n

Komplikacije<\/strong><\/h2>\n

Jedna od naj\u010de\u0161\u0107ih komplikacija kod pacijenata koji pate od idiopatske intrakranijalne hipertenzije je pogor\u0161anje vida. Vid mo\u017ee postati trajno o\u0161te\u0107en, i u retkim slu\u010dajevima mo\u017ee do\u0107i i do potpunog slepila. Postoji velika verovatno\u0107a da se pseudotumor cerebri vrati nekoliko meseci ili \u010dak nekoliko godina nakon izle\u010denja.<\/p>\n

 <\/p>\n

Le\u010denje<\/strong><\/h2>\n

Le\u010denje intrakranijalne hipertenzije svodi se na umanjivanje simptoma i spre\u010davanje \u0161irenja bolesti na vid. Nakon davanja dijagnoze, lekari mogu preporu\u010diti le\u010denje stanja lekovima ili operacijom.<\/p>\n

Neki od lekova kojima se le\u010di pseudotumor cerebri su:<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Lekovi za glaukomu \u2013 ovi lekovi smanjuju pritisak cerebrospinalne te\u010dnosti, a mogu izazvati hroni\u010dan umor i kamenje u bubregu<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Diuretici \u2013 lekovi koji umanjuju akumulaciju te\u010dnosti tako \u0161to pove\u0107avaju potrebu za mokrenjem<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Lekovi protiv migrene \u2013 intenzivne glavobolje i migrene su naj\u010de\u0161\u0107i simptom ove bolesti<\/p>\n

 <\/p>\n

Preterano gojaznim pacijentima se prepisuje program mr\u0161avljenja, a u ekstremnim slu\u010dajevima to mo\u017ee biti i gastri\u010dki bajpas.<\/p>\n

Pseudotumor cerebri mo\u017ee se otkloniti i hirur\u0161kim putem:<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 Izrezivanjem dela opti\u010dkog nerva (fenestracija) kako bi se umanjio pritisak i omogu\u0107ilo oticanje cerebrospinalne te\u010dnosti i o\u010duvala normalna funkcija organa vida<\/p>\n

\u00b7\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0\u00a0 \u0160ant cerebrospinalne te\u010dnosti \u2013 hirur\u0161ka procedura kojom se umanjuje pritisak u lobanji. U donji deo ki\u010dmene mo\u017edine se ubacuje cev (\u0161ant) kojom se omogu\u0107ava normalno oticanje cerebrospinalne te\u010dnosti u trbu\u0161nu duplju.<\/p>\n","protected":false},"featured_media":0,"template":"","class_list":["post-71562","disease","type-disease","status-publish","hentry"],"yoast_head":"\nPseudotumor cerebri - Humanitas.net<\/title>\n<meta name=\"robots\" content=\"noindex, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<meta property=\"og:locale\" content=\"sr_RS\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Pseudotumor cerebri - Humanitas.net\" \/>\n<meta property=\"og:description\" content=\"Definicija Pseudotumor cerebri, poznatije kao idiopatska intrakranijalna hipertenzija, je stanje pove\u0107anog intrakranijalnog pritiska (pritiska unutar lobanje) koje nastaje kao rezultat preterane akumulacije ili nedovoljnog upijanja cerebrospinalne te\u010dnosti. 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