Ben-Nakhi A, Muttikkal T J E, Chavan V N K, Al-Turkomani A Yt, Gupta R
Department of Radiology, Mubarak Al Kabeer Hospital; Farwaniya, Kuwait -
Neuroradiol J. 2008 Dec 17;21(5):661-5. doi: 10.1177/197140090802100509.
Pituitary apoplexy is usually the result of hemorrhagic infarction in pituitary adenoma. The clinical presentation of pituitary apoplexy varies widely and includes asymptomatic hemorrhage, classical pituitary apoplexy and even sudden death. Few cases of cerebral infarction associated with pituitary apoplexy have been reported in the literature. Pituitary apoplexy can cause narrowing of intracranial vessels by mechanical obstruction due to mass effect or by vasospasm resulting in cerebral ischemia. We report a case of pituitary apoplexy associated with cerebral infarction and the putative mechanisms.
垂体卒中通常是垂体腺瘤出血性梗死的结果。垂体卒中的临床表现差异很大，包括无症状性出血、典型的垂体卒中甚至猝死。文献中报道的垂体卒中合并脑梗死的病例很少。垂体卒中可因肿块效应导致的机械性阻塞或血管痉挛导致脑缺血，从而引起颅内血管狭窄。我们报告一例垂体卒中合并脑梗死的病例及其可能的机制。
