18例垂体卒中临床分析  

Clinical analysis of 18 cases of pituitary apoplexy

作　　者：彭景拾 苗玲[2] 钱可久[2] 

机构地区：[1]河南省光山县人民医院,465450 [2]上海第二医科大学附属仁济医院神经科,200001

出　　处：《中国综合临床》2001年第9期669-670,共2页Clinical Medicine of China

摘　　要：目的分析垂体卒中的发病因素和临床特点。方法回顾分析 18例垂体卒中的临床资料。结果主要症状 :头痛 12例 ,视力减退 12例。阳性体征 :颞侧偏盲 6例 ,瞳孔不等大 3例 ,动眼神经受损 2例 ,外展神经受损 2例。影像学检查 :CT有阳性改变 4例 ,MRI有阳性改变 6例。肿瘤直径大于 2 cm 13例 ,小于 2 cm 5例。嫌色细胞腺瘤 11例。 18例均手术治疗。结论垂体卒中临床表现不典型 ,多突然发病或原有症状突然加重 ,以头痛、视力减退为主。 CT及Objective To analyze the etiology and clinical feature of pi t uitary apoplexy.Methods The clinical data from 18 cases of pitui tary apoplexy were analyzed retrospectively.Results Main symptom s were headache in 12 cases and decreased visual acuity in 12 cases.Positive si ghs were temporal hemianopisia in 6 cases,unequal pupil in 3 cases,oculomotor ne rve(Ⅲ) paralysis in 2 cases and abducent nerve (Ⅵ) paralysis in 2 cases.Imagin g examinations showed CT positive finding in 4 cases and MRI positive finding in 6 cases.Tumor diameter was longer than 2 cm in 13 cases and less than 2 cm in 5 cases.Chromophobe pituitary tumor was found in 11 cases.All cases received surg ical operation.Conclusion Clinical features of pituitary tumor a poplexy are atypical,of which headache and visual acuity decrease are the main s ymptoms.Most cases occur suddenly or primary symptoms are deteriorated suddenly. CT and MRI positive findings are helpful for diagnosis.

关 键 词：垂体瘤 垂体卒中 诱发因素 临床表现 诊断 治疗 临床分析 

分 类 号：R743.3[医药卫生—神经病学与精神病学]