Shirakawa Jun, Takeshita Tohru, Miyao Mariko, Orimo Satoshi, Terauchi Yasuo, Mizuno Yuzo
Department of Endocrinology and Metabolism, Kanto Central Hospital, Tokyo.
Intern Med. 2009;48(6):441-6. doi: 10.2169/internalmedicine.48.1769. Epub 2009 Mar 16.
A 53-year-old man was hospitalized with general fatigue, headache, dizziness and polyuria. The laboratory findings revealed anterior hypopituitarism and central diabetes insipidus. He also showed eye movement disorder and facial sensory impairment. These symptoms were treated successfully with conservative medical treatment. Concurrently, abnormal pituitary MR imaging findings were revealed. Pituitary abscess was primarily suspected on MR imaging findings, although it was difficult to differentiate pituitary apoplexy by MR imaging findings, alone. In this report, we propose a new diagnostic approach of pituitary abscess, using a combination of CT, MR imaging and clinical manifestations, without either pituitary surgery or pituitary biopsy.
一名53岁男性因全身乏力、头痛、头晕和多尿入院。实验室检查结果显示垂体前叶功能减退和中枢性尿崩症。他还出现眼球运动障碍和面部感觉障碍。这些症状通过保守药物治疗成功治愈。同时，磁共振成像（MR）检查发现垂体异常。磁共振成像结果初步怀疑为垂体脓肿，尽管仅凭磁共振成像结果难以鉴别垂体卒中。在本报告中，我们提出了一种垂体脓肿的新诊断方法，即结合计算机断层扫描（CT）、磁共振成像和临床表现，无需进行垂体手术或垂体活检。
