Serramito-García R, García-Allut A, Arcos-Algaba A N, Castro-Bouzas D, Santín-Amo J M, Gelabert-González M
Sección de Cirugía Hipofisaria del Servicio de Neurocirugía, Hospital Clínico Universitario, Santiago de Compostela.
Neurocirugia (Astur). 2011 Feb;22(1):44-9.
Pituitary apoplexy constitutes a syndrome that is characterized by the ischemic infarction or hemorrhage into a pituitary tumour. Clinically the patient develops sudden headache, meningismus, visual disturbances, even blindness, and occasionally decrease in level of consciousness. To diagnose it is basic to perform a cerebral MRI. Treatment consists in urgent sellar decompression by transsphenoidal surgery and substitute therapy with steroids.
垂体卒中是一种以垂体肿瘤发生缺血性梗死或出血为特征的综合征。临床上,患者会突然出现头痛、颈项强直、视觉障碍,甚至失明,偶尔还会出现意识水平下降。诊断的基本方法是进行脑部磁共振成像(MRI)检查。治疗包括通过经蝶窦手术进行紧急蝶鞍减压以及使用类固醇进行替代治疗。