Bilateral cerebral aneurysms impinging on the pituitary.

Bilateral cerebral aneurysms impinging on the pituitary.
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双侧脑动脉瘤撞击垂体。

DOI:
10.1007/s11102-005-1759-z
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发表时间:
2004
期刊:
影响因子:
3.8
通讯作者:
Shahinian,Hrayr
Shahinian,Hrayr
中科院分区:
医学2区
文献类型:
--
作者:
Friedman,TheodoreC;Shahinian,Hrayr

文献摘要

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女性,41岁,表现为头部嗡嗡声,失眠,疲劳,抑郁,性欲下降,月经不规律。怀疑部分垂体功能低下,实验室评估显示IGF-1正常135 ng/dL (118-298 ng/dL),甲状腺和皮质醇轴正常。精氨酸- ghrh刺激生长激素(GH)试验显示,RIA生长激素峰值为5.2 ng/mL{正常> 9 ng/mL[1]}。动态垂体MRI (A组)显示左侧海绵状颈动脉动脉瘤,撞击左侧
A 41-year-old female presented with buzzing in her head, insomnia, fatigue, depression, decreased libido and irregular periods. Partial hypopituitarism was suspected and laboratory evaluation revealed low normal IGF-1 of 135 ng/dL (118–298 ng/dL) with normal thyroid and cortisol axes. An arginine-GHRH stimulation test of growth hormone (GH) revealed peak GH by RIA of 5.2 ng/mL {normal> 9 ng/mL [1]}. A dynamic pituitary MRI (Panel A) revealed a left cavernous carotid aneurysm, impinging upon the left side