Arriada-Mendicoa Nicasio, Celis-López Miguel Angel, Higuera-Calleja Jesús, Corona-Vázquez Teresa
Division of Neurosurgery, Instituto Nacional de Neurología y Neurocirugía, Mexico City, Mexico.
AJNR Am J Neuroradiol. 2003 Aug;24(7):1386-9.
Cases of sellar involvement of neurocysticercosis (NCC) are rare. Little is known about the mechanisms by which the parasite can compromise the pituitary gland. Although NCC damages sellar structures with direct compression by large cysts, extension through the basal cisterns and third ventricle with focal arachnoiditis can result as an inflammatory response. Evaluation for hypophyseal lesions in patients with NCC may allow for the diagnosis of unexplained loss of visual acuity and hormonal disturbances.
神经囊尾蚴病(NCC)累及鞍区的病例较为罕见。关于该寄生虫损害垂体的机制,人们知之甚少。虽然NCC通过大囊肿的直接压迫损害鞍区结构,但通过基底池和第三脑室蔓延并伴有局灶性蛛网膜炎可作为一种炎症反应而发生。对NCC患者进行垂体病变评估可能有助于诊断不明原因的视力丧失和激素紊乱。