鞍区葫芦状蛛网膜囊肿1例并文献复习  

One case of gourd shape arachnoid cyst in sellar area and literature review

作　　者：谷优优[1] 索艳[1] 魏元豪 徐梅松[3] 王维清[1] 姜云生[1] 王肃[1] 刘晓智[4] GU Youyou;SUO Yan;WEI Yuanhao;XU Meisong;WANG Weiqing;JIANG Yunsheng;WANG Su;LIU Xiaozhi(Department of Endocrinology,Tianjin Municipal Fifth Central Hospital,Tianjin 300450,China;Department of Radiology,Tianjin Municipal Fifth Central Hospital,Tianjin 300450,China;Department of Neurology,Tianjin Municipal Fifth Central Hospital,Tianjin 300450,China;Department of Central Laboratory,Tianjin Municipal Fifth Central Hospital,Tianjin 300450,China)

机构地区：[1]天津市第五中心医院内分泌科,300450 [2]天津市第五中心医院放射科,300450 [3]天津市第五中心医院神经内科,300450 [4]天津市第五中心医院中心实验室,300450

出　　处：《重庆医学》2021年第22期3861-3863,共3页Chongqing medicine

基　　金：国家自然科学基金项目(81471175);天津市自然科学基金项目(19JCZDJC35200)。

摘　　要：目的总结鞍区蛛网膜囊肿(AC)并腺垂体功能减退症的临床特点。方法分析1例鞍上及鞍内AC并腺垂体功能减退症的临床资料,并对相关文献进行复习。结果患者女,69岁,因恶心呕吐、低钠血症入院,垂体激素结果提示腺垂体功能减退症,垂体核磁提示鞍内及鞍上AC、空蝶鞍,给予泼尼松及左甲状腺素钠片替代腺垂体功能后,病情稳定。结论鞍区AC临床罕见,生长缓慢,需及时作出正确的诊断,进行个体化治疗。Objective To summarize the clinical characteristics of sellar arachnoid cyst(AC)complicating adenohypophysis hypofunction.Methods The clinical data in 1 case of suprasellar and intrasellar AC complicating adenohypophysis hypofunction were analyzed,and the related literature was reviewed.Results The patient,a 69-year-old female,was admitted due to nausea,vomiting and hyponatremia.The results of pituitary hormone suggested hypohypophysis hypofunction,and pituitary MRI suggested intrasellar and suprasellar AC and empty sella.After prednisolone and levothyroxine sodium were given to replace the function of adenohypophysis,her condition was stable.Conclusion AC in sellar region is rare and grows slowly,so it is necessary to make correct diagnosis and individualized treatment in time.

关 键 词：蛛网膜囊肿 鞍区 垂体 

分 类 号：R743[医药卫生—神经病学与精神病学]