因症状性拉克氏裂囊肿导致的急性肾上腺功能不全。

Acute adrenal insufficiency due to symptomatic Rathke's cleft cyst.

作者信息

Tanigawa K, Yamashita S, Namba H, Villadolid M C, Kimura H, Tominaga T, Tsuruta M, Yokoyama N, Izumi M, Nagataki S

机构信息

First Department of Internal Medicine, Nagasaki University School of Medicine, Japan.

出版信息

Intern Med. 1992 Apr;31(4):467-9. doi: 10.2169/internalmedicine.31.467.

DOI:10.2169/internalmedicine.31.467

PMID:1633349

Abstract

A 65-year-old Japanese man who suffered from secondary hypopituitarism due to Rathke's cleft cyst is reported. Although computed tomography failed to detect any pituitary abnormality, magnetic resonance imaging demonstrated the presence of a cystic intrasellar mass, initially suggesting craniopharyngioma or abscess. Operative findings revealed Rathke's cleft cysts within the pituitary fossa which resulted in secondary hypopituitarism. Among cases of secondary hypopituitarism with abnormal findings in the pituitary, symptomatic Rathke's cleft cysts should be included in the differential diagnosis of adrenal insufficiency.

摘要

本文报告了一名65岁的日本男性，其因拉克氏囊肿导致继发性垂体功能减退。尽管计算机断层扫描未检测到任何垂体异常，但磁共振成像显示鞍内存在囊性肿块，最初提示颅咽管瘤或脓肿。手术结果显示垂体窝内存在拉克氏囊肿，导致继发性垂体功能减退。在垂体有异常表现的继发性垂体功能减退病例中，有症状的拉克氏囊肿应纳入肾上腺功能不全的鉴别诊断。