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垂体肿瘤的血管性意外,是瘤体迅速增大,症状突然加重,并出现剧烈头痛,视力急剧下降或完全失明,眼外肌麻痹,脑膜刺激征,甚至意识障碍及垂体功能低下等症状,临床上称“垂体卒中”。现将近年来所见8例报告如下(附表)例7 金××男33岁两眼视力减退四个月,眼前黑影,性欲减退3年。视力右0.2,左5cm 指数,无上睑下垂,双瞳孔等大(3mm),直接、间接对光反应(+),双眼底像呈原发性视神经萎缩。右眼颞侧偏盲,左眼测不出。CT 检查:鞍区占位性病变。住院过程中突然双目失明,立即行开颅术。术中见视神经内侧有一肿瘤,穿刺抽取陈旧血液及坏死组织10cc。病理;垂体嫌色细胞瘤。术后视力右0.5,左眼手动。视野:右眼颞侧偏盲。
Pituitary tumor vascular accident, the tumor is rapidly increased, the symptoms suddenly aggravated, and severe headache, decreased visual acuity or complete blindness, extraocular muscle paralysis, meningeal irritation, and even consciousness and pituitary dysfunction and other symptoms, clinical Called “Pituitary Stroke.” Now in recent years, seen in 8 cases reported as follows (Schedule) Example 7 Kim × × male and 33-year-old eyesight loss for four months, immediate shadow, loss of libido for 3 years. Right eye 0.2, left 5cm index, no ptosis, double pupil and other large (3mm), direct and indirect response to light (+), binocular as primary optic atrophy. Right temporal hemianopia, left eye can not be measured. CT examination: Saddle space-occupying lesions. Sudden blindness during hospitalization, immediate craniotomy. See intraoperative optic nerve inside a tumor, puncture extraction of old blood and necrotic tissue 10cc. Pathology; Pituitary chromophobe. Postoperative visual acuity 0.5, manual left eye. Vision: Temporal hemianopia right eye.