垂体腺瘤卒中并双侧动眼神经麻痹和双侧眼球突出：一例报告。
Pituitary adenoma apoplexy presenting with bilateral third nerve palsy and bilateral proptosis: a case report.
机构信息
Section of Neurology, Ataturk Training and Research Hospital, Ankara, Turkey.
出版信息
Med Princ Pract. 2012;21(3):285-7. doi: 10.1159/000334783. Epub 2011 Dec 8.
OBJECTIVE
To report a case of pituitary adenoma apoplexy presenting with bilateral proptosis and bilateral third nerve palsy that developed after cardiovascular surgery.
CLINICAL PRESENTATION AND INTERVENTION
A 45-year-old man developed bilateral proptosis and bilateral third nerve palsy after a coronary artery bypass grafting operation. A pituitary macroadenoma with extension into the sphenoid sinus and cavernous sinus with bilateral involvement was resected on computed tomography scan by microscopic transsphenoidal procedure. Third nerve palsy improved partially on the first postoperative day and completely improved in the fourth month after the operation.
CONCLUSION
This is a rare case of pituitary adenoma apoplexy that presented with bilateral third cranial nerve palsy.
目的
报告一例心血管手术后出现双侧眼球突出和双侧动眼神经麻痹的垂体腺瘤卒中病例。
临床表现和干预
一名 45 岁男性在冠状动脉旁路移植术后出现双侧眼球突出和双侧动眼神经麻痹。计算机断层扫描显示，垂体大腺瘤向蝶窦和海绵窦延伸，双侧受累，经显微镜经蝶窦手术切除。术后第 1 天，动眼神经麻痹部分改善，术后第 4 个月完全改善。
结论
这是一例罕见的表现为双侧动眼神经麻痹的垂体腺瘤卒中病例。
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