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[垂体卒中与严重急性呼吸综合征冠状病毒2(COVID-19)感染]

[Pituitary apoplexy and SARS-CoV-2 (COVID-19) infection].

作者信息

Ruella Mauro, Caffaratti Guido, Katz Débora, Marengo Ricardo, Cervio Andrés

机构信息

Departamento de Neurocirugía, FLENI, Buenos Aires, Argentina. E-mail:

Departamento de Neurocirugía, FLENI, Buenos Aires, Argentina.

出版信息

Medicina (B Aires). 2023;83(1):133-137.

Abstract

Coronavirus disease (SARS-CoV-2/COVID-19) is responsible for a wide variety of extrapulmonary manifestations, among which direct or indirect neurological compromise stands out. Pituitary apoplexy is a clinical and neurosurgical entity of variable severity, usually associated with a pituitary adenoma. Literature is scarce regarding the association between these diseases. This paper reports a case of pituitary apoplexy, manifested concomitantly to the diagnosis of COVID 19 in a patient with unknown pituitary macroadenoma, and its therapeutic management, reviewing the mechanisms potentially underlying the link between both entities.

摘要

冠状病毒病(SARS-CoV-2/COVID-19)可导致多种肺外表现,其中直接或间接的神经功能损害较为突出。垂体卒中是一种严重程度不一的临床和神经外科病症,通常与垂体腺瘤有关。关于这两种疾病之间的关联,文献报道较少。本文报告了一例垂体卒中病例,该病例在一名患有未知垂体大腺瘤的患者中与COVID-19诊断同时出现,并介绍了其治疗管理方法,同时回顾了这两种病症之间潜在联系的机制。

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