垂体卒中(附5例报告)

Pituitary apoplexy (a report of five cases).

本文结合文献报告了5例垂体卒中,其诊断标准为:(1)突发的明显的视力损害,双颞侧偏盲,剧烈头痛,呕吐等;(2)有垂体瘤史或无,但神经放射学提示垂体卒小表现;(3)不包括仅术中发现有出血但无出血症状的病例。应用CT扫描诊断,激素治疗以及外科手术可使大多数垂体卒中的病人预后良好。本文1例死于脑疝,其他4例预后令人满意。

Five cases of pituitary apoplexy were reported and the literature was reviewed in clinical aspects. Our diagnosis criteria consisted of 1. sudden onset of maked visual impairment, bitemporal hemianopsia ,severe headache, yore-Ring, etc; 2. with or without a history of pituitary adenoma, but radiological examinations suggest evidences of pituitary apoplexy; 3. exeluding cases with asymptomatic hemorrhage verified at operation. CT scan, treatment with corticosteroids and craniotomy or transsphenoidal decompression will lead a successful outcome in most cases of pituitary apoplexy. One case in this series died of herniation, the prognosis of other four patients was satisfactory.