垂体卒中：磁共振扩散加权成像的早期检测
Pituitary apoplexy: early detection with diffusion-weighted MR imaging.
作者信息
Rogg Jeffrey M, Tung Glenn A, Anderson Gordon, Cortez Selina
机构信息
Department of Diagnostic Imaging, Brown University Medical School, Rhode Island Hospital, Providence 02903, USA.
出版信息
AJNR Am J Neuroradiol. 2002 Aug;23(7):1240-5.
Abstract
Pituitary apoplexy is defined as a clinical syndrome that may include headache, visual deficits, ophthalmoplegia, or altered mental status. It may result from either infarction or hemorrhage of the pituitary gland. Prognosis is significantly improved with early diagnosis and surgical treatment. We report two cases in which diffusion-weighted MR imaging assisted in the early detection of acute pituitary infarction and led, in one case, to surgical intervention early in the course of clinical apoplexy, with resulting complete recovery.
摘要
垂体卒中被定义为一种临床综合征，可能包括头痛、视力缺损、眼肌麻痹或精神状态改变。它可能由垂体梗死或出血引起。早期诊断和手术治疗可显著改善预后。我们报告两例病例，其中弥散加权磁共振成像有助于早期发现急性垂体梗死，在一例病例中，在临床卒中过程早期促成了手术干预，最终实现完全康复。
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本文引用的文献
1
Diffusion-weighted MR imaging of rim-enhancing brain masses: is markedly decreased water diffusion specific for brain abscess?环形强化脑肿块的扩散加权磁共振成像：水扩散明显降低对脑脓肿具有特异性吗？
AJR Am J Roentgenol. 2001 Sep;177(3):709-12. doi: 10.2214/ajr.177.3.1770709.
2
The role of diffusion-weighted imaging in patients with brain tumors.扩散加权成像在脑肿瘤患者中的作用。
AJNR Am J Neuroradiol. 2001 Jun-Jul;22(6):1081-8.
3
Diffusion measurements in intracranial hematomas: implications for MR imaging of acute stroke.颅内血肿的扩散测量：对急性卒中磁共振成像的意义
AJNR Am J Neuroradiol. 2000 Aug;21(7):1190-4.
4
Emergency department presentation of pituitary apoplexy.垂体卒中的急诊科表现。
Am J Emerg Med. 2000 May;18(3):328-31. doi: 10.1016/s0735-6757(00)90130-x.
5
Diffusion-weighted MR imaging in acute stroke: theoretic considerations and clinical applications.急性卒中的扩散加权磁共振成像：理论考量与临床应用
AJR Am J Roentgenol. 1999 Dec;173(6):1459-67. doi: 10.2214/ajr.173.6.10584783.
6
Pathological correlates of pituitary adenomas presenting with apoplexy.垂体腺瘤卒中的病理相关性
Hum Pathol. 1998 Nov;29(11):1255-65. doi: 10.1016/s0046-8177(98)90254-4.
7
Discrimination of brain abscess from necrotic or cystic tumors by diffusion-weighted echo planar imaging.通过扩散加权回波平面成像鉴别脑脓肿与坏死性或囊性肿瘤。
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8
MR of nonhemorrhagic postpartum pituitary apoplexy.非出血性产后垂体卒中的磁共振成像
AJNR Am J Neuroradiol. 1995 Oct;16(9):1939-41.
9
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10
Sequential MR enhancement pattern in normal pituitary gland and in pituitary adenoma.正常垂体和垂体腺瘤的磁共振增强顺序模式。
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