Nagai H, Moritake K, Nagao S, Yamasaki T
Department of Neurosurgery, Shimane Medical University, Japan.
J Neuroimaging. 1997 Oct;7(4):251-4. doi: 10.1111/jon199774251.
In a man with a histologically verified non-functioning pituitary adenoma with suprasellar extension, Doppler signals resembled those associated with bruits (ultrasonic bruits). These signals were detected in the anterior circulation of Willis both preoperatively and intraoperatively. The large tumor was resected subtotally via a right orbitozygomatic approach. The use of microvascular sonography for intraoperative monitoring can provide information on the potential cerebrovascular complications of surgery. No previous studies on the presence of ultrasonic bruits associated with pituitary adenomas have been reported. The clinical implications for the surgical treatment of pituitary adenomas are discussed.
在一名经组织学证实为无功能垂体腺瘤且肿瘤向鞍上延伸的男性患者中，多普勒信号类似于与血管杂音相关的信号（超声血管杂音）。术前和术中均在 Willis 环的前循环中检测到这些信号。通过右侧眶颧入路对巨大肿瘤进行了次全切除。术中使用微血管超声监测可为手术潜在的脑血管并发症提供信息。此前尚无关于垂体腺瘤相关超声血管杂音存在情况的研究报道。本文讨论了垂体腺瘤手术治疗的临床意义。
