Shenkin H A, Crowley J N
J Neurol Neurosurg Psychiatry. 1973 Dec;36(6):1063-8. doi: 10.1136/jnnp.36.6.1063.
Hydrocephalus complicated the clinical course of four patients with pituitary adenoma. In three it was noted late, long after surgical intervention and radiotherapy had been carried out. In one patient, hydrocephalus was part of the presenting syndrome. The differential diagnosis of hypopituitarism and occult hydrocephalus is difficult. The possibility of hydrocephalus complicating a pituitary adenoma constitutes another indication for arteriography before carrying out definitive treatment, or should the clinical course be unsatisfactory at any time.
脑积水使4例垂体腺瘤患者的临床病程复杂化。其中3例是在手术干预和放疗很久之后才发现的晚期脑积水。在1例患者中，脑积水是首发综合征的一部分。垂体功能减退和隐匿性脑积水的鉴别诊断很困难。在进行确定性治疗之前，或者如果临床病程在任何时候都不理想，垂体腺瘤并发脑积水的可能性构成了进行血管造影的另一个指征。
