肥胖特发性颅内高压患者特定康复的重要性:一例病例报告

The importance of specific rehabilitation for an obese patient with idiopathic intracranial hypertension: a case report

International Journal of Rehabilitation Research · 2018
被引 0
ABS 3

中文导读

报告一例肥胖特发性颅内高压女性患者通过极端节食减重后出现营养不良和抑郁,后通过综合治疗(控制饮食、心理支持、适度运动)恢复稳定,强调需提供全面康复方案。

Abstract

Idiopathic intracranial hypertension (IIH) is associated with obesity, and weight loss is important to reduce intracranial pressure and improve visual function. A 38-year-old woman with IIH followed an extreme diet, which resulted in 30% weight loss (BMI moved from 34.9 to 24.6). Weight loss resulted in a significant reduction of papilloedema, normalization of intracranial pressure and improvement in headache pattern, but also induced a state of initial malnutrition, relevant depression and disability. She was discharged with the indication to start a controlled diet and improve physical activity: clinical situation get back to stability, with the patient loosing further weight (BMI=21.8) through a balanced diet and moderate physical exercise. Obese patients with IIH should be offered a comprehensive treatment approach consisting of diet and nutritional support, psychological counselling, indication to increase physical activity and, when appropriate, a specific rehabilitation programme.

肥胖特发性颅内高压康复营养病例报告