Zawirski M, Wróbel-Wiśniewska G
Katedry i Kliniki Neurochirurgii AM w Lodzi.
Neurol Neurochir Pol. 1987 May-Jun;21(3):265-7.
The authors report a case of rhinorrhoea caused by a hypophyseal tumour. The clinical pattern and the result of CT of the head might suggest a non-neoplastic aetiology of the cerebrospinal fluid fistula, but intraoperative findings and histological examination made possible establishing of the cause of the rhinorrhoea which was most likely perforation of a cyst of the hypophyseal tumour into the subarachnoid space with secondary development of the empty sella syndrome with consequent fistula leading off the cerebrospinal fluid into the nose.
作者报告了一例由垂体瘤引起的鼻漏病例。头部的临床症状和CT结果可能提示脑脊液瘘的非肿瘤性病因,但术中发现和组织学检查使得确定鼻漏的原因成为可能,最有可能的原因是垂体瘤囊肿穿破进入蛛网膜下腔,继而发展为空蝶鞍综合征,导致脑脊液经瘘管流入鼻腔。