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。