Nomura K, Kono A, Ujihara M, Masuda A, Saito K, Shizume K
Department of Medicine, Tokyo Women's Medical College, Japan.
Jpn J Med. 1989 Sep-Oct;28(5):625-7. doi: 10.2169/internalmedicine1962.28.625.
A 69-year-old female was treated for hyperthyroidism and hypertension. In August 1984, she suddenly began suffering from polyuria and polydipsia. In October, she exhibited fever, headache, vertigo, and poor appetite, probably due to pituitary apoplexy. Her endocrine function was normal, except for partial diabetes insipidus. A contrast-enhanced CT brain scan revealed a pituitary adenoma with a ring-enhanced outer edge and a central low-density area. The MRI scan also indicated cystic adenoma. A CT scan examination repeated 6 months later showed an empty sella with a markedly decreased pituitary adenoma. This case report demonstrates that some empty sella are the final result of pituitary adenoma bleeding or infarction.
一名69岁女性因甲状腺功能亢进和高血压接受治疗。1984年8月，她突然开始出现多尿和烦渴。10月，她出现发热、头痛、眩晕和食欲减退，可能是由于垂体卒中。除部分尿崩症外，她的内分泌功能正常。脑部增强CT扫描显示垂体腺瘤，外缘呈环形强化，中央为低密度区。MRI扫描也提示为囊性腺瘤。6个月后重复进行的CT扫描检查显示为空蝶鞍，垂体腺瘤明显缩小。本病例报告表明，一些空蝶鞍是垂体腺瘤出血或梗死的最终结果。
