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剖宫产术后垂体卒中与硬膜下血肿

Pituitary Apoplexy and Subdural Hematoma after Caesarean Section.

作者信息

Hoang Van Trung, Hoang The Huan, Nguyen Thanh Tam Thi, Chansomphou Vichit, Hoang Duc Thanh

机构信息

Department of Radiology, Thien Hanh Hospital, Buon Ma Thuot, Vietnam.

Department of Radiology, FV Hospital, Ho Chi Minh City, Vietnam.

出版信息

Case Rep Obstet Gynecol. 2022 Jun 23;2022:3097949. doi: 10.1155/2022/3097949. eCollection 2022.

DOI:10.1155/2022/3097949
PMID:35783221
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9246620/
Abstract

Pituitary apoplexy can occur postpartum, and subdural hematoma following epidural anesthesia is a rare complication. Cooccurrence of these two complications is extremely rare and has not been previously reported in the literature. In this article, we present a case of pituitary apoplexy along with intracranial subdural hematoma happening two days after spinal anesthesia for cesarean section. The patient presented with peripheral facial nerve paralysis accompanied by headache, eye pain, and blurred vision and was diagnosed by imaging modalities. The patient made a good recovery with conservative treatment without serious health events.

摘要

垂体卒中可发生在产后,硬膜外麻醉后发生硬膜下血肿是一种罕见的并发症。这两种并发症同时出现极为罕见,此前文献中尚无报道。在本文中,我们报告了一例剖宫产脊髓麻醉后两天发生垂体卒中并伴有颅内硬膜下血肿的病例。患者出现周围性面神经麻痹,并伴有头痛、眼痛和视力模糊,通过影像学检查确诊。患者经保守治疗后恢复良好,未发生严重健康事件。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56c6/9246620/1f42428f4414/CRIOG2022-3097949.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56c6/9246620/07404aa7d202/CRIOG2022-3097949.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56c6/9246620/1f42428f4414/CRIOG2022-3097949.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56c6/9246620/07404aa7d202/CRIOG2022-3097949.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/56c6/9246620/1f42428f4414/CRIOG2022-3097949.002.jpg

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本文引用的文献

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Chronic intracranial subdural hematoma after spinal anesthesia for a cesarean section: a case report.剖宫产术后脊髓麻醉后慢性颅内硬膜下血肿:病例报告。
J Med Case Rep. 2021 Oct 7;15(1):492. doi: 10.1186/s13256-021-03100-0.
2
Recurrent pituitary apoplexy in pregnancy.妊娠相关性垂体卒中。
BMJ Case Rep. 2021 Aug 11;14(8):e242353. doi: 10.1136/bcr-2021-242353.
3
Treatment and therapeutic strategies for pituitary apoplexy in pregnancy: a case series.妊娠期垂体卒中的治疗和治疗策略:病例系列研究。
J Med Case Rep. 2021 May 27;15(1):289. doi: 10.1186/s13256-021-02892-5.
4
Spinal subdural hematoma and subdural anesthesia following combined spinal-epidural anesthesia: a case report.联合腰麻-硬膜外麻醉后发生的脊髓硬膜下血肿和硬膜下麻醉:一例报告。
BMC Anesthesiol. 2021 Apr 26;21(1):130. doi: 10.1186/s12871-021-01352-3.
5
Pituitary apoplexy associated with acute COVID-19 infection and pregnancy.与急性 COVID-19 感染和妊娠相关的垂体卒中。
Pituitary. 2020 Dec;23(6):716-720. doi: 10.1007/s11102-020-01080-w. Epub 2020 Sep 11.
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Pituitary Apoplexy: A Comprehensive Review.垂体卒中:全面综述。
Neurol India. 2020 May-Jun;68(Supplement):S72-S78. doi: 10.4103/0028-3886.287669.
7
Fatal Acute Intracranial Subdural Hematoma After Spinal Anesthesia for Cesarean Delivery: Case Report and Review of the Literature.剖宫产脊髓麻醉后致命性急性颅内硬膜下血肿:病例报告及文献复习
Am J Forensic Med Pathol. 2019 Dec;40(4):381-385. doi: 10.1097/PAF.0000000000000505.
8
A case of atypical macroprolactinoma presenting with pituitary apoplexy during pregnancy and review of the literature.一例妊娠期间发生垂体卒中的不典型大泌乳素腺瘤病例报告并文献复习。
Gynecol Endocrinol. 2020 Feb;36(2):109-116. doi: 10.1080/09513590.2019.1650339. Epub 2019 Aug 7.
9
Clinical and imaging features of pituitary apoplexy and role of imaging in differentiation of clinical mimics.垂体卒中的临床和影像学特征及影像学在鉴别临床模拟疾病中的作用。
Quant Imaging Med Surg. 2018 Mar;8(2):219-231. doi: 10.21037/qims.2018.03.08.
10
A case report of intracranial hemorrhage after spinal anesthesia.一例脊麻后颅内出血的病例报告。
JA Clin Rep. 2017;3(1):11. doi: 10.1186/s40981-017-0081-x. Epub 2017 Mar 9.