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小型垂体瘤中的中风

Apoplexy in small pituitary tumours.

作者信息

Jeffcoate W J, Birch C R

出版信息

J Neurol Neurosurg Psychiatry. 1986 Sep;49(9):1077-8. doi: 10.1136/jnnp.49.9.1077.

DOI:10.1136/jnnp.49.9.1077
PMID:3760898
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC1029018/
Abstract

Three cases are described in which the typical clinical features of pituitary apoplexy were associated with a normal pituitary fossa on plain skull radiographs. Failure to consider pituitary disease led to considerable delay in the diagnosis of two of the three patients. Catastrophic haemorrhage may occur even in small pituitary tumours and may result in the clinical syndrome of apoplexy with or without subsequent hypopituitarism.

摘要

本文描述了三例病例,这些病例中垂体卒中的典型临床特征与头颅平片上正常的垂体窝相关。未考虑垂体疾病导致三例患者中的两例诊断出现相当大的延迟。即使是小的垂体肿瘤也可能发生灾难性出血,并可能导致有或无随后垂体功能减退的卒中临床综合征。

相似文献

1
Apoplexy in small pituitary tumours.小型垂体瘤中的中风
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Pituitary apoplexy: an unusual cause of frontal lobe syndrome.垂体卒中:额叶综合征的一种罕见病因。
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Acute hypopituitarism associated with periorbital swelling and cardiac dysfunction in a patient with pituitary tumor apoplexy: a case report.垂体瘤卒中患者伴眶周肿胀和心脏功能障碍的急性垂体功能减退:一例报告
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Atypical presentation of vascular events in pituitary tumours: "non-apoplectic" pituitary apoplexy.垂体瘤血管事件的非典型表现:“非卒中样”垂体卒中
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Non-convulsive status epilepticus: a treatable cause of confusion in pituitary apoplexy.非惊厥性癫痫持续状态:垂体卒中中意识障碍的一个可治疗原因。
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An interesting case of a pituitary adenoma apoplexy mimicking an acute meningitis. Case report.一例酷似急性脑膜炎的垂体腺瘤卒中的有趣病例。病例报告。
J Neurosurg Sci. 2007 Jun;51(2):65-9; discussion 68-9.

引用本文的文献

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The role of intervention timing and treatment modality in visual recovery following pituitary apoplexy: a systematic review and meta-analysis.垂体卒中后视觉恢复中干预时机和治疗方式的作用:一项系统评价和荟萃分析
J Neurooncol. 2024 Dec;170(3):469-482. doi: 10.1007/s11060-024-04717-z. Epub 2024 Nov 6.
2
Pituitary apoplexy.垂体卒中
Indian J Endocrinol Metab. 2011 Sep;15 Suppl 3(Suppl3):S188-96. doi: 10.4103/2230-8210.84862.
3
Pituitary apoplexy: a review of clinical presentation, management and outcome in 45 cases.垂体卒中:45例病例的临床表现、治疗及预后综述
Pituitary. 2004;7(3):157-163. doi: 10.1007/s11102-005-1050-3.
4
Pituitary apoplexy.垂体卒中
BMJ. 1988 Dec 10;297(6662):1526-7. doi: 10.1136/bmj.297.6662.1526.

本文引用的文献

1
Pituitary apoplexy. The importance of skull roentgenograms and computerized tomography in diagnosis.垂体卒中。颅骨X线片和计算机断层扫描在诊断中的重要性。
JAMA. 1980 Jul 4;244(1):59-61. doi: 10.1001/jama.244.1.59.
2
Haemorrhage in pituitary tumours.垂体肿瘤出血
Acta Neurochir (Wien). 1982;65(1-2):41-9. doi: 10.1007/BF01405440.
3
Hemorrhage into pituitary adenomas.垂体腺瘤内出血。
Surg Neurol. 1983 Oct;20(4):280-7. doi: 10.1016/0090-3019(83)90079-4.
4
Pituitary apoplexy: a review.垂体卒中:综述
Neurosurgery. 1984 Mar;14(3):363-73. doi: 10.1227/00006123-198403000-00021.