Fulmek R
Klin Monbl Augenheilkd. 1979 Feb;174(2):256-9.
According to traditional opinion the basophile adenoma, in contrast to the eosinophile or chromophobe tumours of the hypophyse, practically never causes lesion of the chiasm. However, the case of a 16-year-old girl suffering from adiposis, hypertonia, striae distensae and a "full moon face" is used to demonstrate that through the precis examination of the visual field on the Goldmann perimeter even with normal disque of the optic nerve, normal sella turcica established by X-ray, and uncharacteristic hormon condition, a slight chiasmal lesion caused by pressure from below can be established.
根据传统观点,与垂体嗜酸性或嫌色细胞瘤相比,嗜碱性腺瘤实际上几乎从不引起视交叉病变。然而,有一名16岁女孩,患有肥胖症、高血压、皮肤紫纹和“满月脸”,该病例用于证明,即使视神经盘正常、X线检查显示蝶鞍正常且激素状况无特征性,通过使用戈德曼视野计精确检查视野,仍可确定存在由下方压力导致的轻微视交叉病变。