Konovalov A N, Fedorov S N, Sokolov A F, Nikulina L A
Zh Vopr Neirokhir Im N N Burdenko. 1987 Sep-Oct(5):8-15.
The article describes five cases of rare cerebral tumors, paragangliomas of the chiasma-sellar area. Their clinical course characteristically begins with the appearance of endocrine disorders manifested by progressive hypophyseal insufficiency. Analysis of the clinical and X-ray signs of paragangliomas of the chiasma-sellar region show these to be similar to adenomas of the hypophysis. A specific feature of paragangliomas of the chiasma-sellar area is their rich vascularization, which is demonstrated by angiography and verified in all cases during operation. The rich vascularization of paragangliomas of the chiasma-sellar area calls for their rapid and complete removal so as to reduce the loss of blood and provide reliable hemostasis.
本文描述了5例罕见的脑肿瘤，即视交叉 - 鞍区副神经节瘤。其临床病程的典型特征是以内分泌紊乱为开端，表现为进行性垂体功能不全。对视交叉 - 鞍区副神经节瘤的临床和X线征象分析表明，这些征象与垂体腺瘤相似。视交叉 - 鞍区副神经节瘤的一个特殊特征是其血管丰富，血管造影显示了这一点，并且在所有手术病例中均得到证实。视交叉 - 鞍区副神经节瘤的丰富血管需要快速彻底切除，以减少失血并实现可靠止血。
