Ahmed Y S, Bradey N, Halaka A N, Belchetz P E, Ironside J W
Department of Neurosurgery, General Infirmary, Leeds, United Kingdom.
Br J Neurosurg. 1989;3(3):409-14. doi: 10.3109/02688698909002824.
Three cases of pituitary abscess are described. All were women with varying degrees of anterior pituitary dysfunction, diabetes insipidus and headaches. None had visual disturbance. A history of prior head injury was obtained in both young women who developed secondary amenorrhoea and hyperprolactinaemia. All three had low density, thick rim intrasellar masses on computed tomography scanning. Certain aspects of the diagnosis and surgical management of this rare condition are discussed with particular emphasis on the importance of pre- and postoperative endocrine assessment and preoperative diagnosis and proper surgical management.
本文描述了三例垂体脓肿病例。所有患者均为女性，伴有不同程度的垂体前叶功能障碍、尿崩症和头痛。无一例有视力障碍。两名出现继发性闭经和高泌乳素血症的年轻女性均有头部外伤史。所有三例患者在计算机断层扫描中均显示鞍内低密度、厚壁肿块。本文讨论了这种罕见疾病诊断和手术治疗的某些方面，特别强调了术前和术后内分泌评估以及术前诊断和适当手术治疗的重要性。
