Agrawal Amit, Diwan S K
Department of Neurosurgery, Datta Meghe Institute of Medical Sciences, Sawangi (Meghe), Wardha, Maharashtra, India.
Asian J Neurosurg. 2011 Jul;6(2):99-100. doi: 10.4103/1793-5482.92171.
We report an unusual case of pituitary hyperplasia secondary to primary hypothyroidism clinically masquerading pituitary apoplexy. A 22-year-old female presented with intermittent headache, easy fatigability, facial puffiness, coarseness of facial features, and hoarseness of voice for six months duration. Diplopia and diminution of vision was also observed for the last 15 days. Brain imaging findings showed pituitary enlargement, the thyroid function test were suggestive of primary hypothyroidism. Patient did well with thyroid hormone replacement therapy.
我们报告了一例罕见的垂体增生病例，该病例继发于原发性甲状腺功能减退症，临床上伪装成垂体卒中。一名22岁女性出现间歇性头痛、易疲劳、面部肿胀、面部特征变粗和声音嘶哑达6个月之久。在过去15天里还观察到复视和视力减退。脑部影像学检查结果显示垂体增大，甲状腺功能检查提示原发性甲状腺功能减退症。患者接受甲状腺激素替代治疗后情况良好。
