偏瘫后下丘脑垂体功能减退
Hypothalamic hypopituitarism after hemiparesis.
作者信息
Yerevanian B I, Wehby V S, Salti I S, Shediac C C
出版信息
Can Med Assoc J. 1977 May 7;116(9):1025-6.
Abstract
Anterior pituitary insufficiency developed over 15 years in a man who had had a sudden episode of left hemiparesis and slurred speech at the age of 45 years. At age 60 radiographic studies revealed no evidence of a sellar or suprasellar neoplasm, and endocrinologic studies, including stimulation with thyrotropin releasing hormone and luteinizing hormone releasing hormone, yielded results consistent with hypopituitarism of hypothalamic origin. Response to thyroid, adrenocortical and testosterone therapy was good.
摘要
一名45岁时曾突发左半身轻瘫和言语不清的男性，在15年的时间里逐渐出现垂体前叶功能减退。60岁时，影像学检查未发现蝶鞍或鞍上肿瘤的迹象，包括促甲状腺激素释放激素和促黄体生成素释放激素刺激试验在内的内分泌学检查结果与下丘脑源性垂体功能减退相符。对甲状腺、肾上腺皮质和睾酮治疗反应良好。
相似文献
1
Hypothalamic hypopituitarism after hemiparesis.偏瘫后下丘脑垂体功能减退
Can Med Assoc J. 1977 May 7;116(9):1025-6.
2
Hypopituitarism following external radiotherapy for pituitary tumours in adults.成人垂体肿瘤外照射放疗后的垂体功能减退
Q J Med. 1989 Feb;70(262):145-60.
3
Evidence for a hypothalamic defect in septo-optic dysplasia.视隔发育不良中下丘脑缺陷的证据。
Arch Intern Med. 1978 Aug;138(8):1276-7.
4
Hypothalamic-hypopituitarism due to temporal arteritis.
Arch Intern Med. 1979 Apr;139(4):474-5.
5
Hypothalamic hypopituitarism after pituitary apoplexy in acromegaly.肢端肥大症垂体卒中后的下丘脑垂体功能减退
Arch Intern Med. 1977 Sep;137(9):1134-7.
6
Post-traumatic hypopituitarism due to a hypothalamic lesion.
Am J Med. 1980 Apr;68(4):614-7. doi: 10.1016/0002-9343(80)90314-9.
7
Congenital hypopituitarism as part of suprasellar dysplasia. A case report.先天性垂体功能减退作为鞍上发育异常的一部分。病例报告。
J Reprod Med. 1994 Aug;39(8):643-8.
8
Serum thyrotropin responses to synthetic thyrotropin-releasing hormone in normal children and hypopituitary patients. A new test to distinguish primary releasing hormone deficiency from primary pituitary hormone deficiency.正常儿童和垂体功能减退患者血清促甲状腺激素对合成促甲状腺激素释放激素的反应。一种区分原发性释放激素缺乏和原发性垂体激素缺乏的新测试。
J Clin Invest. 1972 Feb;51(2):431-7. doi: 10.1172/JCI106829.
9
Hypopituitarism.垂体功能减退症
Curr Ther Endocrinol Metab. 1994;5:26-9.
10
Acute and long-term pituitary insufficiency in traumatic brain injury: a prospective single-centre study.创伤性脑损伤中的急性和长期垂体功能不全：一项前瞻性单中心研究。
Clin Endocrinol (Oxf). 2007 Oct;67(4):598-606. doi: 10.1111/j.1365-2265.2007.02931.x.
本文引用的文献
1
RADIOIMMUNOASSAY OF HUMAN PLASMA THYROTROPIN.人血浆促甲状腺激素的放射免疫测定
J Clin Invest. 1965 Aug;44(8):1277-86. doi: 10.1172/JCI105234.
2
Modification of the Reddy-Jenkins-Thorn method for the estimation of 17-hydroxycorticoids in urine.用于估算尿中17-羟皮质类固醇的雷迪-詹金斯-索恩方法的改良
Metabolism. 1954 Nov;3(6):489-92.
3
Radioimmunoassay for human follicle-stimulating hormone.人促卵泡激素的放射免疫测定法
J Clin Endocrinol Metab. 1967 Feb;27(2):295-9. doi: 10.1210/jcem-27-2-295.
4
Hypothalamic hypothyroidism.下丘脑性甲状腺功能减退症
N Engl J Med. 1971 Oct 7;285(15):844-5. doi: 10.1056/NEJM197110072851508.
5
Hypopituitarism after extracranial irradiation: evidence for hypothalamic origin.颅外照射后垂体功能减退：下丘脑起源的证据。
Br Med J. 1973 Jan 20;1(5846):152-3. doi: 10.1136/bmj.1.5846.152.
6
Hypopituitarism secondary to hypothalamic insufficiency.继发于下丘脑功能不全的垂体功能减退症。
Ann Intern Med. 1973 Jan;78(1):88-90. doi: 10.7326/0003-4819-78-1-88.
7
Thyrotropin releasing factor (TRF) effect on secretion of human pituitary prolactin and thyrotropin in children and in idiopathic hypopituitary dwarfism: further evidence for hypophysiotropic hormone deficiencies.促甲状腺激素释放因子（TRF）对儿童及特发性垂体性侏儒症患者垂体泌乳素和促甲状腺激素分泌的影响：促垂体激素缺乏的进一步证据
J Clin Endocrinol Metab. 1972 Dec;35(6):825-30. doi: 10.1210/jcem-35-6-825.
8
Abnormalities in the release of TSH in response to thyrotropin-releasing hormone (TRH) in patients with disorders of the pituitary, hypothalamus and basal ganglia.垂体、下丘脑和基底神经节疾病患者对促甲状腺激素释放激素（TRH）反应中促甲状腺激素（TSH）释放的异常。
J Clin Endocrinol Metab. 1972 Oct;35(4):609-15. doi: 10.1210/jcem-35-4-609.
9
FSH and LH response to luteinizing hormone-releasing factor in prepubertal and pubertal children, adult males and patients with hypogonadotropic and hypertropic hypogonadism.青春期前和青春期儿童、成年男性以及低促性腺激素性和高促性腺激素性性腺功能减退患者对促黄体生成素释放因子的促卵泡生成素和促黄体生成素反应。
J Clin Endocrinol Metab. 1972 Dec;35(6):926-30. doi: 10.1210/jcem-35-6-926.
10
Diagnostic value of thyrotrophin-releasing hormone in pituitary and hypothalamic diseases. Assessment of thyrotrophin and prolactin secretion in 100 patients.促甲状腺激素释放激素在垂体和下丘脑疾病中的诊断价值。对100例患者促甲状腺激素和催乳素分泌的评估。
Ann Intern Med. 1974 Dec;81(6):751-7. doi: 10.7326/0003-4819-81-6-751.
Zotero 插件