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一例重大腹部手术后垂体卒中的病例报告

Pituitary Apoplexy After a Major Abdominal Surgery: A Case Report.

作者信息

Alshahrani Abdulaziz M, Al Bshabshe Ali, Al Shahrani Mohammed B

机构信息

Otolaryngology-Head and Neck Surgery, Aseer Central Hospital, Abha, SAU.

Intensive Care Unit, Aseer Central Hospital, Abha, SAU.

出版信息

Cureus. 2024 Jan 25;16(1):e52966. doi: 10.7759/cureus.52966. eCollection 2024 Jan.

Abstract

Pituitary apoplexy is a major complication of pituitary adenoma, and the diagnosis might be challenging if the patient presents with signs of meningeal irritation or electrolyte imbalance. It can be fatal if not diagnosed and treated appropriately. Apoplexy is the first clinical presentation in the majority of pituitary adenoma cases. The pathophysiology of pituitary apoplexy involves bleeding and/or ischemia of pituitary enlargement. In this case report, we present a case of pituitary apoplexy that developed after a major abdominal surgery. The patient presented with headache, hypertension, and visual loss. After confirming the diagnosis through a CT scan, the patient underwent a transsphenoidal surgical decompression.

摘要

垂体卒中是垂体腺瘤的一种主要并发症,如果患者出现脑膜刺激征或电解质失衡的体征,诊断可能具有挑战性。如果未得到恰当的诊断和治疗,它可能是致命的。卒中是大多数垂体腺瘤病例的首发临床表现。垂体卒中的病理生理学涉及垂体增大后的出血和/或缺血。在本病例报告中,我们呈现了一例在腹部大手术后发生垂体卒中的病例。患者出现头痛、高血压和视力丧失。通过CT扫描确诊后,患者接受了经蝶窦手术减压。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f6d5/10894319/b03cbd6fa4c4/cureus-0016-00000052966-i01.jpg

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