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内分泌肿瘤手术操作所致急性循环功能不全：松果体母细胞瘤

Acute circulatory deficiency due to endocrinal tumoral manipulation: the pinealoblastoma.

作者信息

Heithem Chemchihik, Issaoui Ghazi, Khadraoui Mejdi, Ladib Mohamed, Naija Walid, Said Rachid

机构信息

AHU anesthésie réanimation CHU sahloul-sousse6tunisie.

Neurosurgery service of the UHC Sahloul, Sousse-Tunisia.

出版信息

Pan Afr Med J. 2014 Jun 19;18:168. doi: 10.11604/pamj.2014.18.168.1983. eCollection 2014.

DOI:10.11604/pamj.2014.18.168.1983
PMID:25422686
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4239456/
Abstract

We rapport the case of a patient presenting intra-abdominal metastasis of a pinealoblastoma, via a ventriculo-peritoneal shunt, confirmed by an anatomo-pathologic exam. The patient presented an acute hydrocephalus secondary to DVP dysfunction. The surgical manipulation of this metastasis had caused an acute circulatory deficiency due to massive serotonin release. In this case we analyze pineal gland physiology and serotonin effect on different systems.

摘要

我们报告了一例松果体母细胞瘤经脑室-腹腔分流出现腹腔内转移的病例，该病例经解剖病理学检查确诊。患者因脑室-腹腔分流功能障碍继发急性脑积水。这种转移灶的手术操作因大量血清素释放导致了急性循环功能不全。在本病例中，我们分析了松果体的生理功能以及血清素对不同系统的影响。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff9d/4239456/ccc71487bb1a/PAMJ-18-168-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff9d/4239456/1c993fd86186/PAMJ-18-168-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff9d/4239456/ccc71487bb1a/PAMJ-18-168-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff9d/4239456/1c993fd86186/PAMJ-18-168-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ff9d/4239456/ccc71487bb1a/PAMJ-18-168-g002.jpg

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本文引用的文献

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Melatonin: circadian rhythm regulator, chronobiotic, antioxidant and beyond.褪黑素：昼夜节律调节器、时间生物学剂、抗氧化剂及其他功能。
Clin Dermatol. 2009 Mar-Apr;27(2):202-9. doi: 10.1016/j.clindermatol.2008.04.003.
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Serotonin pharmacology in the gastrointestinal tract: a review.胃肠道中的血清素药理学：综述
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Melatonin and serotonin effects on gastrointestinal motility.褪黑素和血清素对胃肠蠕动的影响。
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Extraneural metastasis in intracranial tumors in children: the experience of a single center.儿童颅内肿瘤的神经外转移：单中心经验
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Ultrastruct Pathol. 1994 Jan-Apr;18(1-2):69-85. doi: 10.3109/01913129409016276.
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Melatonin in humans, neuroendocrinological and pharmacological aspects.褪黑素在人类中的神经内分泌学及药理学研究
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Extraneural metastases from brainstem astrocytoma through ventriculoperitoneal shunt.脑干星形细胞瘤经脑室腹腔分流术发生的神经外转移
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