Szeifert G, Pásztor E, Czirják S, Piffkó P, Gádor I, Hajda M, Kolonics L, Slowik F, Bálint K
Orv Hetil. 1989 Jan 15;130(3):119-23.
Hypophysis apoplexy is a clinical syndrome characterized by the sudden development of headache, visual disturbance, associated with nausea, vomiting, signs of meningeal irritation and ophthalmoplegia. The symptoms are caused by the hemorrhage of a hypophyseal adenoma. This leads to the swelling of the tumor and compression of the perisellar structures. The authors processed the clinical and pathological characteristics of 28 cases occurring among the patient material of the National Institute of Neurosurgery of the past 10 years. According to the experiences the most important factor of a successful treatment of hypophyseal apoplexy is an early diagnosis and quick admittance to an institute of neurosurgery of satisfactory conditions. Thereafter a steroid hormone therapy of large doses and decompression operation performed by transnasal-transsphenoidal approach leads in the majority of cases to recovery.
垂体卒中是一种临床综合征，其特征为突然出现头痛、视力障碍，并伴有恶心、呕吐、脑膜刺激征和眼肌麻痹。这些症状由垂体腺瘤出血引起。这会导致肿瘤肿胀并压迫鞍周结构。作者梳理了过去10年在国家神经外科研究所患者资料中出现的28例病例的临床和病理特征。根据经验，成功治疗垂体卒中的最重要因素是早期诊断并迅速入住条件良好的神经外科机构。此后，大剂量类固醇激素治疗以及经鼻-蝶窦入路进行减压手术，在大多数情况下可使患者康复。
