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烟雾病合并无功能垂体大腺瘤:一例罕见表现的病例报告

Moyamoya Disease with Non-Functional Pituitary Macroadenoma: A Case Report of a Rare Presentation.

作者信息

Ullah Rizwan, Al Balushi Jubran, Nishat Nadia, Mughal Hafiz Muhammad Faizan, Misra Gayatri

机构信息

Internal Medicine, Hayatabad Medical Complex, Peshawar, PAK.

Medicine, University College Dublin, Dublin, IRL.

出版信息

Cureus. 2024 Mar 22;16(3):e56728. doi: 10.7759/cureus.56728. eCollection 2024 Mar.

Abstract

Moyamoya disease (MMD) is a rare neurological condition characterized by brain blood vessel narrowing, leading to collateral vessel formation. Diagnosis typically involves cerebral angiography and magnetic resonance angiography (MRA), with surgical revascularization often providing superior outcomes. Here, we present the case of a 55-year-old woman with hypertension, diabetes, and a history of ischemic stroke. She recently experienced a hemorrhagic stroke due to MMD, compounded by a non-functional pituitary macroadenoma. Recognizing signs of a hemorrhagic stroke is crucial to prevent future occurrences and ensure optimal outcomes. However, our understanding of the connection between MMD and pituitary macroadenoma remains incomplete. Further research is essential to refine diagnostic techniques and treatment strategies. Through continued research and awareness, we can strive for improved outcomes and an enhanced quality of life for individuals affected by MMD and its complications.

摘要

烟雾病(MMD)是一种罕见的神经系统疾病,其特征是脑血管狭窄,导致侧支血管形成。诊断通常包括脑血管造影和磁共振血管造影(MRA),手术血管重建术往往能带来更好的治疗效果。在此,我们报告一例55岁女性患者,她患有高血压、糖尿病,并有缺血性中风病史。她最近因烟雾病并发出血性中风,同时还患有无功能垂体大腺瘤。识别出血性中风的症状对于预防未来发生和确保最佳治疗效果至关重要。然而,我们对烟雾病与垂体大腺瘤之间联系的理解仍不完整。进一步的研究对于完善诊断技术和治疗策略至关重要。通过持续的研究和提高认识,我们可以努力为受烟雾病及其并发症影响的个体改善治疗效果并提高生活质量。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e0ed/11034900/addd03be3f5c/cureus-0016-00000056728-i01.jpg

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