Brisman M H, Katz G, Post K D
Department of Neurosurgery, The Mount Sinai Medical Center, New York, New York 10029, USA.
J Neurosurg. 1996 Dec;85(6):1153-5. doi: 10.3171/jns.1996.85.6.1153.
Macroprolactinomas rarely present with apoplexy. The authors describe a patient with a macroprolactinoma who presented with apoplexy and rapid progression of a third nerve palsy. The patient was managed expectantly with bromocriptine, and within 48 hours, the patient's third nerve palsy had completely resolved. The authors suggest that all patients who present with pituitary apoplexy in the presence of a pituitary tumor receive an immediate course of bromocriptine and steroid therapy until the prolactin level can be determined. Emergency surgery is indicated if visual function is abnormal and the tumor is not a prolactinoma.
大泌乳素瘤很少发生卒中。作者描述了一名患有大泌乳素瘤的患者，该患者出现卒中及动眼神经麻痹迅速进展。对该患者采用溴隐亭进行保守治疗，48小时内，患者的动眼神经麻痹完全缓解。作者建议，所有存在垂体瘤且发生垂体卒中的患者，在确定泌乳素水平之前应立即接受溴隐亭和类固醇治疗。如果视觉功能异常且肿瘤不是泌乳素瘤，则需进行急诊手术。
