Mindel J S, Sachdev V P, Kline L B, Sivak M A, Bergman D A, Yang W C, Choi I S, Huang Y P
Surg Neurol. 1983 Feb;19(2):163-7. doi: 10.1016/0090-3019(83)90417-2.
The triad of hyperprolactinemia, ophthalmoplegia, and radiologic abnormalities of the sell turcica suggest a tumor in the area of the pituitary gland. A new association--bilateral intracavernous carotid aneurysms--is presented. Two elderly women had extraocular muscle palsies and elevated serum prolactin levels of 71 and 32 ng/ml (normal: less than 20 ng/ml). In the former, a high-resolution computed tomography scan made after contrast medium injection was incorrectly interpreted as demonstrating a pituitary tumor; cerebral arteriography revealed bilateral aneurysms. In the other patient, a computed tomography scan after contrast medium injection demonstrated the bilateral aneurysms, and these were confirmed by radionuclide angiography.
高催乳素血症、眼肌麻痹和蝶鞍区放射学异常三联征提示垂体区域存在肿瘤。本文报道了一种新的关联——双侧海绵窦内颈动脉动脉瘤。两名老年女性出现眼外肌麻痹，血清催乳素水平分别升高至71和32 ng/ml（正常：低于20 ng/ml）。前者在注射造影剂后进行的高分辨率计算机断层扫描被错误地解读为显示垂体肿瘤；脑血管造影显示双侧动脉瘤。另一例患者在注射造影剂后的计算机断层扫描显示双侧动脉瘤，放射性核素血管造影证实了这一结果。
