Epstein S, Pimstone B L, De Villiers J C, Jackson W P
Br Med J. 1971 May 1;2(5756):267-70. doi: 10.1136/bmj.2.5756.267.
Five cases of pituitary apoplexy occurring in patients with pituitary tumours are described. This uncommon condition is characterized by headache, sudden loss of vision, alteration in the level of consciousness, and usually an abnormal cerebrospinal fluid. The whole picture may be complicated by endocrine dysfunction. The diagnosis is strengthened by a radiologically abnormal pituitary fossa and confirmed by the operative finding of haemorrhagic necrotic tissue. Surgical decompression under steroid cover offers the only hope of restoration of vision. Frequent postoperative follow-up is obligatory.
本文描述了5例垂体肿瘤患者发生垂体卒中的情况。这种罕见病症的特征为头痛、视力突然丧失、意识水平改变，且通常伴有脑脊液异常。整个病情可能因内分泌功能障碍而复杂化。垂体窝放射学异常有助于强化诊断，手术发现出血性坏死组织则可确诊。在类固醇药物保护下进行手术减压是恢复视力的唯一希望。术后必须进行频繁随访。
