Elias Z, Powers S K, Grimson B S, Bouldin T W
Department of Ophthalmology, University of North Carolina, Chapel Hill 27514.
Surg Neurol. 1987 Nov;28(5):395-400. doi: 10.1016/0090-3019(87)90065-6.
A patient with pituitary-sellar disproportion, a perichiasmal visual field defect, and no clinically demonstrable endocrinopathy is presented. Radiographic and pathologic studies suggested that the pituitary-sellar disproportion was secondary to sellar hypoplasia, a previously unrecognized cause of the chiasmal syndrome. It remains to be seen whether hormonal manipulation aimed at suppression of gonadotropin- and/or prolactin-secreting cells might obviate the need for exploration in patients similar to ours.
本文报告了一名患有垂体-蝶鞍比例失调、视交叉周围视野缺损且无临床可证实的内分泌病的患者。影像学和病理学研究表明，垂体-蝶鞍比例失调继发于蝶鞍发育不全，这是一种以前未被认识到的视交叉综合征病因。对于类似于我们病例的患者，旨在抑制促性腺激素和/或催乳素分泌细胞的激素治疗是否可以避免手术探查，仍有待观察。
