Jeffcoate W J, Birch C R
J Neurol Neurosurg Psychiatry. 1986 Sep;49(9):1077-8. doi: 10.1136/jnnp.49.9.1077.
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.
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。