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垂体柄阻断综合征:一例病例报告及文献复习

Pituitary stalk interruption syndrome: a case report and literature review.

作者信息

Ali Alqarni Abdullah, Abdalla Khalid Mohamed, Alqarni Mohammed A S, Alfaifi Jaber A, Osman Hisham G A, Al Alhindi Bandar S

机构信息

Department of Medicine, College of Medicine, University of Bisha.

King Abdullah Hospital, Bisha, Kingdom of Saudi Arabia.

出版信息

Ann Med Surg (Lond). 2024 Apr 17;86(9):5486-5488. doi: 10.1097/MS9.0000000000002067. eCollection 2024 Sep.

Abstract

BACKGROUND

Pituitary stalk interruption syndrome is a rare congenital anomaly of the pituitary gland characterized by growth hormones deficiency (with or without other pituitary hormone deficiencies) along with radiological features of a thin or interrupted pituitary stalk, an ectopic or absent posterior pituitary, or a hypoplastic or absent anterior pituitary.

CASE PRESENTATION

A 10-year-old baby boy came with short stature. The laboratory investigations were done and showed low growth hormones and low thyroid-stimulating hormone. MRI showed an ectopic posterior pituitary, a small hypoplastic anterior pituitary, and an absent pituitary stalk.

CONCLUSION

Pituitary stalk interruption syndrome is a very rare entity. MRI is used to diagnose it. Early detection of this syndrome improve the patient symptoms especially before puberty.

摘要

背景

垂体柄中断综合征是一种罕见的垂体先天性异常,其特征为生长激素缺乏(伴或不伴有其他垂体激素缺乏),以及垂体柄纤细或中断、垂体后叶异位或缺失、垂体前叶发育不全或缺失等影像学特征。

病例报告

一名10岁男童因身材矮小前来就诊。进行了实验室检查,结果显示生长激素水平低且促甲状腺激素水平低。磁共振成像(MRI)显示垂体后叶异位、垂体前叶发育不全且垂体柄缺失。

结论

垂体柄中断综合征是一种非常罕见的病症。MRI用于诊断该综合征。早期发现此综合征可改善患者症状,尤其是在青春期之前。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ee4f/11374187/9a1ba2336da6/ms9-86-5486-g001.jpg

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