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头部损伤后出现的颞侧偏盲和尿崩症

[Temporal hemianopia and diabetes insipidus following head injury].

作者信息

Zaaroor M, Goldsher D, Feinsod M

机构信息

Dept. of Neurosurgery, Rambam Medical Center, Haifa.

出版信息

Harefuah. 1997 Jan 1;132(1):14-5, 72.

PMID:9035581
Abstract

Bitemporal hemianopia and diabetes insipidus following head injury are caused by a lesion in the center of the optic chiasm, together with injury to the adjacent pituitary stalk or the hypothalamus. This combination was thought to be a rare complication of severe head injury. The case of a 16-year-old male is presented, which together with recent reports suggests that this relatively under-recognized syndrome is not infrequent, that it may follow even minor head injury, and that magnetic resonance imaging can demonstrate the chiasmal lesion.

摘要

头部受伤后出现双颞侧偏盲和尿崩症是由视交叉中央的病变以及相邻垂体柄或下丘脑损伤所致。这种情况曾被认为是重度头部损伤的罕见并发症。本文报告了一名16岁男性的病例,结合近期的报道表明,这种相对未被充分认识的综合征并不罕见,甚至可能发生于轻度头部损伤后,且磁共振成像能够显示视交叉病变。

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