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身材矮小:考虑垂体柄阻断综合征。

Short Stature: Think About the Pituitary Stalk Interruption Syndrome.

作者信息

Mniai El Mehdi, Bourial Abderrahim, Salam Siham, Mahi Mohamed, Rami Amal

机构信息

Radiology, Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences, Casablanca, MAR.

Otolaryngology, Cheikh Khalifa International University Hospital, Mohammed VI University of Health Sciences, Casablanca, MAR.

出版信息

Cureus. 2023 Mar 2;15(3):e35700. doi: 10.7759/cureus.35700. eCollection 2023 Mar.

Abstract

Pituitary stalk interruption syndrome (PSIS) is an uncommon congenital defect of the pituitary gland. It is considered one of the rare endocrinal causes of abnormally short stature. Herein, we present a case of a four-year-old girl who consulted for short stature and delayed growth. The patient's history did not include any past medical or surgical pathology. Birth history revealed a full-term delivery with a breech presentation. Clinically, the patient had a small stature, beneath the third percentile. Magnetic resonance imaging findings, through a typical triad, were consistent with PSIS. We describe through this report, what we believe is a rare typical case of PSIS. This case was discovered in a young patient with pituitary dwarfism. We hope that the concise and synthesized structure of this case report will help physicians acquire the necessary reflexes to notice and diagnose the already underdiagnosed PSIS.

摘要

垂体柄阻断综合征(PSIS)是一种罕见的垂体先天性缺陷。它被认为是身材异常矮小的罕见内分泌原因之一。在此,我们报告一例4岁女童因身材矮小和生长发育迟缓前来就诊的病例。患者既往无任何内科或外科病史。出生史显示为足月臀位分娩。临床上,患者身材矮小,低于第三百分位。磁共振成像结果通过典型的三联征与PSIS相符。我们通过本报告描述了我们认为的一例罕见的典型PSIS病例。该病例在一名垂体性侏儒症年轻患者中被发现。我们希望本病例报告简洁综合的结构能帮助医生获得必要的反应,以注意并诊断出目前诊断不足的PSIS。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/022b/10066793/8cf0a07736ea/cureus-0015-00000035700-i01.jpg

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