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促肾上腺皮质激素分泌型垂体腺瘤切除术后发生假性脑瘤:病例报告

Development of pseudotumor cerebri after the removal of an adrenocorticotropic hormone-secreting pituitary adenoma: case report.

作者信息

Martin N A, Linfoot J, Wilson C B

出版信息

Neurosurgery. 1981 Jun;8(6):699-702. doi: 10.1227/00006123-198106000-00011.

DOI:10.1227/00006123-198106000-00011
PMID:6269017
Abstract

A patient with Cushing's disease developed intracranial hypertension 1 month after the removal of an adrenocorticotropic hormone-secreting pituitary adenoma. A computed tomographic scan demonstrated normal ventricles and no intracranial mass, establishing the diagnosis of pseudotumor cerebri. The elevated intracranial pressure was apparently consequent to an abrupt reduction in circulating corticosteroids. The development of pseudotumor cerebri after the correction of endogenous hypercortisolism has not been reported previously. This potential complication of the surgical treatment of Cushing's disease can be managed with prompt recognition and appropriate treatment of the syndrome.

摘要

一名库欣病患者在切除分泌促肾上腺皮质激素的垂体腺瘤1个月后出现颅内高压。计算机断层扫描显示脑室正常且无颅内肿块,从而确诊为假性脑瘤。颅内压升高显然是由于循环皮质类固醇激素突然减少所致。内源性皮质醇增多症纠正后发生假性脑瘤此前尚未见报道。库欣病手术治疗的这一潜在并发症可通过对该综合征的及时识别和适当治疗来处理。

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Development of pseudotumor cerebri after the removal of an adrenocorticotropic hormone-secreting pituitary adenoma: case report.促肾上腺皮质激素分泌型垂体腺瘤切除术后发生假性脑瘤:病例报告
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引用本文的文献

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Emergence of De Novo Conditions Following Remission of Cushing Syndrome: A Case Report and Scoping Review.缓解后的库欣综合征新发病症的出现:病例报告和范围综述。
Endocrinol Diabetes Metab. 2024 May;7(3):e00476. doi: 10.1002/edm2.476.
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High-pressure headaches: idiopathic intracranial hypertension and its mimics.高压性头痛:特发性颅内高压及其类似疾病。
Nat Rev Neurol. 2012 Dec;8(12):700-10. doi: 10.1038/nrneurol.2012.223. Epub 2012 Nov 20.
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Pseudotumor cerebri after surgical remission of Cushing's disease.库欣病手术后缓解期出现假性脑瘤。
J Clin Endocrinol Metab. 2010 Apr;95(4):1528-32. doi: 10.1210/jc.2009-2449. Epub 2010 Feb 17.
4
Benign intracranial hypertension after pituitary surgery for Cushing's disease.库欣病垂体手术后的良性颅内高压
Postgrad Med J. 1994 Feb;70(820):115-7. doi: 10.1136/pgmj.70.820.115.
5
Spectrum of benign intracranial hypertension in children and adolescents.
Childs Nerv Syst. 1985;1(2):81-6. doi: 10.1007/BF00706687.