Kalyanaraman U P
Hum Pathol. 1982 Dec;13(12):1141-3. doi: 10.1016/s0046-8177(82)80255-4.
A 56-year-old woman with an asymptomatic pituitary adenoma had a fatal third-ventricular hemorrhage of sudden onset. A suprasellar mass with hemorrhage and rupture into the third ventricle was found at autopsy. Histologically, the tumor cells from the suprasellar mass and the third-ventricular hemorrhage were diagnostic of a pituitary adenoma. The pathogenesis of the third-ventricular hemorrhage from a pituitary adenoma and the need to consider pituitary apoplexy in the differential diagnosis of third-ventricular hemorrhage are discussed. On the basis of a review of the literature, it is felt that computerized tomographic scanning, although most helpful in diagnosis of sellar lesions, does not replace skull radiographs and sellar tomography in the investigation of suspected pituitary apoplexy.
一名患有无症状垂体腺瘤的56岁女性突然发生致命的第三脑室出血。尸检发现鞍上有一伴有出血并破入第三脑室的肿块。组织学检查显示，来自鞍上肿块及第三脑室出血处的肿瘤细胞可诊断为垂体腺瘤。本文讨论了垂体腺瘤导致第三脑室出血的发病机制以及在第三脑室出血的鉴别诊断中考虑垂体卒中的必要性。基于文献回顾，我们认为计算机断层扫描虽然对鞍区病变的诊断非常有帮助，但在疑似垂体卒中的检查中并不能替代头颅X线片和鞍区体层摄影。
