PRIMARY PITUITARY ADENOMA AND THE SYNDROME OF THE CAVERNOUS SINUS: A CLINICAL AND ANATOMIC STUDY
PRIMARY PITUITARY ADENOMA AND THE SYNDROME OF THE CAVERNOUS SINUS: A CLINICAL AND ANATOMIC STUDY
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原发性垂体腺瘤和海绵窦综合征：临床和解剖学研究
DOI：
10.1001/archopht.1940.00870060139010
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发表时间：
1940
影响因子：
--
通讯作者：
F. Grant
中科院分区：
文献类型：
--
作者：
L. M. Weinberger;F. H. Adler;F. Grant
通过库欣、弗雷泽和德施韦尼茨的杰出工作，建立原发性垂体腺瘤诊断标准的体征和症状已为每个学生所熟悉。在经典的三联征，视交叉综合征，体质性垂体机能不良和垂体疾病的X线证据中，第一个提到的在垂体腺瘤的识别中发挥了最大的作用。事实上，垂体腺瘤的症状学中视觉成分的显著性使得亨德森（Henderson）[1]最近发表了一篇对库欣的338例病例系列的批判性综述，他宣称：“在嫌色细胞腺瘤大到足以累及视觉通路之前，诊断甚至怀疑它是例外的。. . .在视力受到影响之前，几乎没有理由进行手术。“这句话可以被认为是许多写过垂体腺瘤诊断的人所表达的普遍意见。通过供应眼球的神经
Through the brilliant labors of Cushing, Frazier and de Schweinitz, the signs and symptoms establishing the diagnostic criteria for primary pituitary adenoma have become familiar to every student. Of the classic triad of signs, the chiasmal syndrome, constitutional dyspituitarism and roentgen evidence of hypophysial disease, the first mentioned has played the largest role in the recognition of pituitary adenoma. Indeed, the preeminence of the visual component in the semiology of pituitary adenoma led Henderson, 1 who recently published a critical review of Cushing's series of 338 cases, to declare : "It is exceptional for a chromophobe adenoma to be diagnosed or even suspected before it is sufficiently large to implicate the visual pathways. . . . operation would hardly be justified before vision is affected." This remark may be taken as the general opinion expressed by the many who have written on the diagnosis of pituitary adenoma. Though the nerves which supply the ocular