Miranda-Ruiz R, Chávez M, Ruiz-Velasco G, Castañón J, Zárate A
Unidad de Investigación Clínica en Enfermedades Endocrinas y Hospital de Especialidades del Centro Médico Nacional Siglo XXI.
Gac Med Mex. 1990 Jan-Feb;126(1):51-4.
Three cases of primary hypothyroidism with optic chiasm compression due to pituitary hyperplasia are reported. Patients consulted for amenorrhea, galactorrhea and visual disturbances. The study of these patients disclosed a chiasm syndrome, persistent hyperprolactinemia, decreased thyroxine and triiodothyronine associated with elevated thyrotropin stimulating hormone in blood. Computerized tomography scan revealed the presence of pituitary enlargement. Treatment with thyroid hormones resulted in total resolution of clinical features and disappearance of tomographic abnormalities.
报告了3例因垂体增生导致视交叉受压的原发性甲状腺功能减退症病例。患者因闭经、溢乳和视觉障碍前来就诊。对这些患者的研究发现了视交叉综合征、持续性高催乳素血症、甲状腺素和三碘甲状腺原氨酸降低，同时血液中促甲状腺激素升高。计算机断层扫描显示垂体增大。甲状腺激素治疗使临床症状完全缓解，断层扫描异常消失。
