Muñoz Torres M, Céspedes Mas S, Díaz de Madrid J, Vidal Puig A, Alvarez Cienfuegos E, Escobar Jiménez F
Hospital Universitario de Granada, Section de Endocrinología.
Rev Clin Esp. 1990 Apr;186(6):274-6.
We report 5 clinical cases of primary hypothyroidism or premixedema with associated pituitary lesion. Before treatment was started with L-thyroixine (L-T4) pituitary hormones were examined and an X-ray of the silla turca as well as a CT scan of the hypophysis (CTH) was done. Once supplementation treatment was started hormone levels normalized. In three out of the 5 cases, CT scan done after establishing therapy, showed empty silla turca. Therefore, me stress the importance of closely examining the pituitary gland in patients with untreated primary hypothyroidism.
我们报告了5例原发性甲状腺功能减退症或黏液性水肿合并垂体病变的临床病例。在开始使用左旋甲状腺素（L-T4）治疗之前，对垂体激素进行了检查，并对蝶鞍进行了X线检查以及垂体CT扫描（CTH）。一旦开始补充治疗，激素水平就恢复正常。在这5例病例中的3例中，治疗后进行的CT扫描显示蝶鞍空泡。因此，我强调对未经治疗的原发性甲状腺功能减退症患者密切检查垂体的重要性。
