John Wayne Cancer Institute, Santa Monica, CA, USA; Pacific Neuroscience Institute, 2125 Arizona Avenue, Santa Monica, CA 90404, USA.
John Wayne Cancer Institute, Santa Monica, CA, USA; Pacific Neuroscience Institute, 2125 Arizona Avenue, Santa Monica, CA 90404, USA.
Neurosurg Clin N Am. 2019 Oct;30(4):457-463. doi: 10.1016/j.nec.2019.06.001. Epub 2019 Aug 7.
Pituitary apoplexy is a clinical condition with acute-onset headaches, vision loss, and/or pituitary dysfunction associated with a hemorrhagic or infarcted pituitary tumor or cyst. Treatment varies based on clinical presentation, although often urgent or emergent surgical resection is indicated. Conservative treatment strategies tend to be applied for more mild conditions of apoplexy. Overall outcomes may be similar in this less severe cohort. Acute-onset vision loss with apoplexy should be treated with urgent or emergent surgical evacuation of hematoma and resection of tumor when possible.
垂体卒中是一种临床疾病，表现为突发头痛、视力丧失和/或垂体功能障碍，与出血性或缺血性垂体肿瘤或囊肿有关。治疗方法因临床表现而异，尽管通常需要紧急或紧急手术切除。对于较轻的卒中病例，通常采用保守治疗策略。在这种病情较轻的患者中，总体预后可能相似。伴有卒中的急性视力丧失应采用紧急或紧急手术清除血肿，并尽可能切除肿瘤。
