Pituitary apoplexy producing internal carotid artery compression: a case report.
Pituitary apoplexy producing internal carotid artery compression: a case report.
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DOI：
10.3346/jkms.2008.23.6.1113
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发表时间：
2008-12
影响因子：
4.5
通讯作者：
Hong YK
中科院分区：
文献类型：
--
作者：
Yang SH;Lee KS;Lee KY;Lee SW;Hong YK
我们报告一个脑下垂体中风导致右侧颈内动脉闭塞并伴有偏瘫和嗜睡的病例。患者男，43岁，突发严重头痛、视力障碍、左侧偏瘫。检查发现一个结节性肿块，位于鞍和鞍上部分，并伴有视交叉受压。肿块压迫双侧海绵窦，导致右侧颈内动脉海绵窦部分闭塞。在右侧额顶叶发现一个边缘区梗塞，在接受液体置换和类固醇保守治疗后，进行了经蝶窦肿瘤减压术。病理检查发现一个几乎完全梗塞的垂体腺瘤。患者的视力在减压后立即改善，并且在手术后六个月内运动无力改善到IV+级。中风导致颈内动脉阻塞是罕见的。然而，临床医生应该意识到这种情况发生的可能性和适当的管理。
We report a case of pituitary apoplexy resulting in right internal carotid artery occlusion accompanied by hemiplegia and lethargy. A 43-yr-old man presented with a sudden onset of severe headache, visual disturbance and left hemiplegia. Investigations revealed a nodular mass, located in the sella and suprasellar portion and accompanied by compression of the optic chiasm. The mass compressed the bilateral cavernous sinuses, resulting in the obliteration of the cavernous portion of the right internal carotid artery. A border zone infarct in the right fronto-parietal region was found. Transsphenoidal tumor decompression following conservative therapy with fluid replacement and steroids was performed. Pathological examination revealed an almost completely infarcted pituitary adenoma. The patient's vision improved immediately after the decompression, and the motor weakness improved to grade IV+ within six months after the operation. Pituitary apoplexy resulting in internal carotid artery occlusion is rare. However, clinicians should be aware of the possibility and the appropriate management of such an occurrence.
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影响因子：
4.8
作者：
POZZATI, E;FRANK, G;GIULIANI, G
通讯作者：
GIULIANI, G
影响因子：
4.1
作者：
MAJCHRZAK, H;WENCEL, T;BIALAS, J
通讯作者：
BIALAS, J
影响因子：
5.8
作者：
Zayour, DH;Selman, WR;Arafah, BM
通讯作者：
Arafah, BM
影响因子：
1.9
作者：
Akutsu, H;Noguchi, S;Matsumura, A
通讯作者：
Matsumura, A
影响因子：
2.6
作者：
CLARK, JDA;FREER, CEL;WHEATLEY, T
通讯作者：
WHEATLEY, T