Mauerhoff T, Leveque P, Lambert A E
Service d'Endocrinologie et Nutrition Cliniques Universitaires St. Luc, UCL-DIAB 5474, Bruxelles.
Acta Clin Belg. 1991;46(1):30-6. doi: 10.1080/17843286.1991.11718138.
A 40-year-old patient presented with intractable headache, panhypopituitarism and diabetes insipidus 5 months after a severe shock syndrome. The magnetic resonance imaging of the brain confirmed a hemorragic necrosis of the pituitary gland. On follow-up, the patient recovered a normal pituitary function, except for the persistence of a partial ACTH deficiency. The pituitary image also normalized. Pituitary apoplexy is a rare disease of severe prognosis due to its neurological and endocrine consequences. It can now be more easily recognized by the new imaging techniques.
一名40岁患者在严重休克综合征5个月后出现顽固性头痛、全垂体功能减退和尿崩症。脑部磁共振成像证实垂体有出血性坏死。随访时，患者垂体功能恢复正常，但仍存在部分促肾上腺皮质激素缺乏。垂体影像也恢复正常。垂体卒中是一种预后严重的罕见疾病，因其会导致神经和内分泌方面的后果。现在借助新的成像技术，它更容易被识别出来。
