Kato K, Nobori M, Miyauchi Y, Ohnisi M, Yoshida S, Oya S, Tomita S, Kino T
Department of Internal Medicine, Asahi General Hospital, Chiba.
Intern Med. 1996 Jun;35(6):472-7. doi: 10.2169/internalmedicine.35.472.
A case of pituitary apoplexy occurring after subtotal thyroidectomy in an acromegalic woman with a large adenomatous goiter is described. The patient had severe apnea because the large goiter was causing airway compression. Prior to the planned hypophysectomy, a subtotal thyroidectomy was performed to relieve tracheal stenosis. Shortly after the operation, the patient developed a headache that lasted for several days. The serum levels of growth hormone and somatomedin-C spontaneously normalized seventeen days after this episode and have remained normal for two years. Pituitary apoplexy was thought to have caused the observed results without deterioration of the pituitary function.
本文描述了一例患有巨大腺瘤性甲状腺肿的肢端肥大症女性患者，在甲状腺次全切除术后发生垂体卒中的病例。该患者因巨大甲状腺肿导致气道受压而出现严重呼吸暂停。在计划进行垂体切除术前，先进行了甲状腺次全切除术以缓解气管狭窄。术后不久，患者出现持续数天的头痛。此次发作十七天后，生长激素和生长调节素-C的血清水平自发恢复正常，并持续两年保持正常。垂体卒中被认为是导致观察到的结果的原因，且垂体功能未恶化。
