Wong Sui Hsien, Das Kumar, Javadpour Mohsen
Department of Neuro-ophthalmology, Moorfields Eye Hospital, London, UK.
BMJ Case Rep. 2013 Sep 6;2013:bcr2013009223. doi: 10.1136/bcr-2013-009223.
We presented a case of a 62-year-old man whose initial clinical picture was suggestive of bacterial meningitis, but instead had pituitary apoplexy. We highlighted how pituitary apoplexy can mimic bacterial meningitis, learning points on how clinical assessment can aid earlier diagnosis and the importance of considering this differential diagnosis, particularly with the associated morbidity and mortality if missed.
我们报告了一例62岁男性病例,其最初的临床表现提示为细菌性脑膜炎,但实际上是垂体卒中。我们强调了垂体卒中如何能模仿细菌性脑膜炎,阐述了临床评估如何有助于早期诊断的要点,以及考虑这种鉴别诊断的重要性,特别是如果漏诊会带来相关的发病率和死亡率。