Adams C, Dean H J, Israels S J, Patton A, Fewer D H
Department of Neurology, Children's Hospital, Winnipeg, Manitoba, Canada.
Pediatr Neurol. 1994 Mar;10(2):166-8. doi: 10.1016/0887-8994(94)90053-1.
A 12-year-old girl presented with primary hypothyroidism, secondary pituitary hyperplasia, and intracranial hypertension. Cranial computed tomography revealed a sellar mass with suprasellar extension. She responded to medical treatment. Intracranial hypertension may be associated with primary hypothyroidism prior to thyroxine treatment. Because significant pituitary hyperplasia can be associated with primary hypothyroidism, it is vital to have endocrine investigation prior to consideration of surgical removal of an apparent pituitary tumor.
一名12岁女孩出现原发性甲状腺功能减退、继发性垂体增生和颅内高压。头颅计算机断层扫描显示鞍区有肿块并向上延伸至鞍上。她对药物治疗有反应。在甲状腺素治疗前，颅内高压可能与原发性甲状腺功能减退有关。由于明显的垂体增生可能与原发性甲状腺功能减退有关，因此在考虑手术切除明显的垂体肿瘤之前进行内分泌检查至关重要。
