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Ischemic chiasmal syndrome and hypopituitarism associated with progressive cerebrovascular occlusive disease.缺血性视交叉综合征及垂体功能减退与进行性脑血管闭塞性疾病相关。
AJNR Am J Neuroradiol. 1984 Jul-Aug;5(4):367-72.
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引用本文的文献

1
Intracranial atherosclerotic disease associated with moyamoya collateral formation: histopathological findings.颅内动脉粥样硬化性疾病与烟雾病侧支形成的关系：组织病理学发现。
J Neurosurg. 2013 May;118(5):1030-4. doi: 10.3171/2013.1.JNS12565. Epub 2013 Feb 8.

缺血性视交叉综合征及垂体功能减退与进行性脑血管闭塞性疾病相关。

Ischemic chiasmal syndrome and hypopituitarism associated with progressive cerebrovascular occlusive disease.

作者信息

Ahmadi J, Keane J R, McCormick G S, Fallis R J, Miller C A

出版信息

AJNR Am J Neuroradiol. 1984 Jul-Aug;5(4):367-72.

PMID:6431771
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8332066/
Abstract

Two interesting patients are described with unique clinical and radiographic manifestations of progressive bilateral stenosis-occlusion of the distal internal carotid arteries. Their clinical presentations, ischemic chiasmal syndrome and hypopituitarism, are extremely rare, despite extensive occlusion of the circle of Willis. In one of these patients, the configuration of collateral vessels around the optic chiasm on computed tomography (CT) was so rounded and discrete that it actually had an appearance suggesting a pituitary tumor or an aneurysm. In the second patient, a pseudoaneurysm and a very large intracerebral hematoma with a ring of contrast enhancement were the radiographic manifestations.

摘要

描述了两名有趣的患者，他们具有双侧颈内动脉远端进行性狭窄闭塞的独特临床和影像学表现。尽管 Willis 环广泛闭塞，但其临床表现，即缺血性视交叉综合征和垂体功能减退极为罕见。在其中一名患者中，计算机断层扫描（CT）显示视交叉周围侧支血管的形态非常圆润且离散，实际上其外观提示垂体肿瘤或动脉瘤。在第二名患者中，影像学表现为假性动脉瘤和一个非常大的脑内血肿，并伴有环形强化。