To the Editor:Pituitary disease is a group of pituitary gland disorders, including pituitary adenoma and other lesions,in the sellar region.[1] Typical endocrine symptoms and mass effects are likely to have harmful re...To the Editor:Pituitary disease is a group of pituitary gland disorders, including pituitary adenoma and other lesions,in the sellar region.[1] Typical endocrine symptoms and mass effects are likely to have harmful results on patients,families,and society.Pituitary databases of various sizes and focuses have been established in the USA and Europe.[2-4]展开更多
To the Editor: A 35-year-old Chinese woman was admitted to our hospital complaining of a 1-year history of bilateral temporal chronic intermittent moderate headache which used to be alleviated by ibuprofen tablets or...To the Editor: A 35-year-old Chinese woman was admitted to our hospital complaining of a 1-year history of bilateral temporal chronic intermittent moderate headache which used to be alleviated by ibuprofen tablets or rest and had increased in intensity in the past 1 month. The patient also presented with the slow development of visual deficit. In January 2012, the patient presented with polyuria and polydipsia suggestive of central diabetes insipidus. Endocrine studies showed no clinically significant results.展开更多
To the Editor:Intracranial solitary fibrous tumor (SFT) is a kind of rare tumor.It was first identified as a distinct entity in 1996 and included by the 2000 World Health Organization classification of tumors of th...To the Editor:Intracranial solitary fibrous tumor (SFT) is a kind of rare tumor.It was first identified as a distinct entity in 1996 and included by the 2000 World Health Organization classification of tumors of the nervous system.展开更多
Background: Intracranial hemorrhage is the most common emergency in the neurology department, and patients with a medical history of hemophilia have a risk of severe bleeding. Case presentation: A 56-year-old man was ...Background: Intracranial hemorrhage is the most common emergency in the neurology department, and patients with a medical history of hemophilia have a risk of severe bleeding. Case presentation: A 56-year-old man was admitted to the emergency department in our hospital. He was diagnosed with hemophilia A and subdural hematoma. We administered an infusion of factor VⅢ to decrease the risk of bleeding and improve the prognosis. Factor VⅢ infusion is the most important factor in treating hemophilia A patients. Conclusion: We recommend carefully checking coagulation function and the medical history once these patients are admitted, especially in the emergency department.展开更多
To the Editor: A 36-year-old female patient was admitted to Peking Union Medical College Hospital complaining of 6 years of headache. Magnetic resonance imaging (MRI) showed an intrasellar lesion with homogeneous h...To the Editor: A 36-year-old female patient was admitted to Peking Union Medical College Hospital complaining of 6 years of headache. Magnetic resonance imaging (MRI) showed an intrasellar lesion with homogeneous hyperintense on T 1-weighted images and T2-weighted images and inhomogeneous contrast enhancement by the gadolinium administration [Figure l a and lb]. Rathke's cleft cyst was initially diagnosed preoperatively, and the tumor was totally resected by transsphenoidal surgery. Histopathology revealed that granulomatous tissue consisted of cholesterol clefts, lymphoplasmacellular infiltrates, marked hemosiderin deposits, and multinucleated foreign body giant cells around cholesterol clefts [Figure 1 e- 1 g].展开更多
To the Editor: A 56-year-old Chinese man was referred to Peking Union Medical College Hospital because of polydipsia (9000 ml/24 h) and polyuria (7000 ml/24 h) for over 20 days accompanied with intermittent moder...To the Editor: A 56-year-old Chinese man was referred to Peking Union Medical College Hospital because of polydipsia (9000 ml/24 h) and polyuria (7000 ml/24 h) for over 20 days accompanied with intermittent moderate headache in frontal and temporal areas of both sides for about 2 weeks. The patient underwent a brain magnetic resonance imaging (MRI) with contrast in a local healthy facility, revealing that there was an irregular pituitary lesion measuring 1.1 cm× 1.4 cm× 2.2 cm. Apparently, the diagnosis of central diabetes insipidus (DI) was made, but the pituitary lesion remained to be elucidated. The patient received desmopressin acetate tablets (1.2 mg, q.n.) to ameliorate polydipsia (5000 ml/24 h) and polyuria (4000 ml/24 h).展开更多
基金a grant from the Beijing Municipal Natural Science Foundation (No.7182137).
文摘To the Editor:Pituitary disease is a group of pituitary gland disorders, including pituitary adenoma and other lesions,in the sellar region.[1] Typical endocrine symptoms and mass effects are likely to have harmful results on patients,families,and society.Pituitary databases of various sizes and focuses have been established in the USA and Europe.[2-4]
文摘To the Editor: A 35-year-old Chinese woman was admitted to our hospital complaining of a 1-year history of bilateral temporal chronic intermittent moderate headache which used to be alleviated by ibuprofen tablets or rest and had increased in intensity in the past 1 month. The patient also presented with the slow development of visual deficit. In January 2012, the patient presented with polyuria and polydipsia suggestive of central diabetes insipidus. Endocrine studies showed no clinically significant results.
文摘To the Editor:Intracranial solitary fibrous tumor (SFT) is a kind of rare tumor.It was first identified as a distinct entity in 1996 and included by the 2000 World Health Organization classification of tumors of the nervous system.
文摘Background: Intracranial hemorrhage is the most common emergency in the neurology department, and patients with a medical history of hemophilia have a risk of severe bleeding. Case presentation: A 56-year-old man was admitted to the emergency department in our hospital. He was diagnosed with hemophilia A and subdural hematoma. We administered an infusion of factor VⅢ to decrease the risk of bleeding and improve the prognosis. Factor VⅢ infusion is the most important factor in treating hemophilia A patients. Conclusion: We recommend carefully checking coagulation function and the medical history once these patients are admitted, especially in the emergency department.
基金This work was supported by grants from the National Natural Science Foundation of China (No. 81502639 and No, 81372414).
文摘To the Editor: A 36-year-old female patient was admitted to Peking Union Medical College Hospital complaining of 6 years of headache. Magnetic resonance imaging (MRI) showed an intrasellar lesion with homogeneous hyperintense on T 1-weighted images and T2-weighted images and inhomogeneous contrast enhancement by the gadolinium administration [Figure l a and lb]. Rathke's cleft cyst was initially diagnosed preoperatively, and the tumor was totally resected by transsphenoidal surgery. Histopathology revealed that granulomatous tissue consisted of cholesterol clefts, lymphoplasmacellular infiltrates, marked hemosiderin deposits, and multinucleated foreign body giant cells around cholesterol clefts [Figure 1 e- 1 g].
文摘To the Editor: A 56-year-old Chinese man was referred to Peking Union Medical College Hospital because of polydipsia (9000 ml/24 h) and polyuria (7000 ml/24 h) for over 20 days accompanied with intermittent moderate headache in frontal and temporal areas of both sides for about 2 weeks. The patient underwent a brain magnetic resonance imaging (MRI) with contrast in a local healthy facility, revealing that there was an irregular pituitary lesion measuring 1.1 cm× 1.4 cm× 2.2 cm. Apparently, the diagnosis of central diabetes insipidus (DI) was made, but the pituitary lesion remained to be elucidated. The patient received desmopressin acetate tablets (1.2 mg, q.n.) to ameliorate polydipsia (5000 ml/24 h) and polyuria (4000 ml/24 h).