Diagnosis of pituitary adenoma with apoplectic course
DOI:
https://doi.org/10.25305/unj.127810Keywords:
аденома гіпофіза, порушення кровообігу в пухлині, інсультоподібний перебіг, діагностика, гіпофізарна апоплексія, гіпопітуїтаризмAbstract
Results of 69 patients with apoplectic course of pituitary adenomas treatment were analyzed. A lot of clinical difficulties for proper diagnosis and adequate treatment such as various kinds of disease acute onset, mental deterioration, visual loss, cranial nerves palsies, pituitary insufficiency were found. Patients with pituitary adenomas and intratumorous apoplexy need rapid diagnostics. The complex study of those patients must include plain craniography, CT and MRI. MR-angio-study or angiography may solve the most complicated cases (differentiation from aneurysms).
References
Вайншенкер Ю.К. Кровоизлияния и некрозы в аденомах гипофиза (синдром питуитарной апоплексии): Автореф. дис. ... канд. мед. наук:14.00.28. — СПб, 2001. — 19 с.
Гайдар Б.В., Гофман В.Р., Черебилло В.Ю. и др. Опухоли хиазмально-селлярной области // Практ. нейрохирургия. — СПб, 2002. — С.446–475.
Григорьев А.Ю., Зуев А.А., Воскобойников В.В., Кузнецов Н.С. Ближайшие и отдаленные результаты хирургического лечения больных акромегалией // Нейрохирургия. — 2005. — С.23–27.
Кадашев Б.А., Трунин Ю.К., Корниенко В.Н., Калинин П.Л. Поэтапное применение транскраниального и транссфеноидального хирургических доступов в лечении аденом гипофиза // Вопр. нейрохирургии. — 1996. — №4. — С.6–9.
Мелькишев В.Ф., Камалова Г.М., Вайншенкер Ю.К. Питуитарная апоплексия как причина летальных исходов у больных с аденомами гипофиза // Актуальные проблемы неврологии и нейрохирургии: Сб. науч. тр. — Ростов н/Д, 1999. — С.54–55.
Пацко Я.В., Возняк A.M., Гук А.Н., Пазюк В.А. Аденомы гипофиза у лиц пожилого возраста. Опыт хирургического лечения 102 больных // Вопр. нейрохирургии. — 2001. — №4. — С.14–18.
Портной Л.М., Калинин А.М., Шумский В.И. и др. Опыт применения мобильной рентгеновской компьютерной томографии в диагностике аденом гипофиза // Вопр. нейрохирургии. — 1994. — №4. — С.33–35.
Arafah B.M., Harrington J.F., Madhoun Z.T., Selinan W.R. Improvement of pituitary function after surgical decompression for pituitary tumor apoplexy // J. Clin. Endocrinol. Metab. — 1990. — V.71. — P.323–325.
Catenoix H., Nighoghossian N., Honnorat J. et al. Necrosis of a hypophyseal adenoma and ischemic cerebral vascular accident // Rev. Neurol. (Paris). — 2002. — V.158, N6. — P.734–736.
Chacko A.G., Chacko G., Seshadri M.S. et al. Hemorrhagic necrosis of pituitary adenomas // Neurol.India. — 2002. — V.50, N4. — P.490–493.
Challa V.R., Richards F., Davis C.H.Jr. Intraventricular hemorrhage from pituitary apoplexy // Surg. Neurol. — 1981. — V.16. — P.360–363.
Chen S.T., Chen S.D., Ryu S.J. et al. Pituitary apoplexy with intracerebral hemorrhage simulating rupture of an anterior cerebral artery aneurysm // Surg. Neurol. — 1988. — V.29. — P.322–326.
Clark J.D.A., Freer C.E.L., Wheadey T. Case report: pituitary apoplexy: an unusual cause of stroke // Clin. Radiol. — 1987. — V.38. — P.75–79.
Knosp E., Steiner E., Kitz K., Matula C. Pituitary adenomas with invasion of cavernous sinus: a magnetic resonanse imaging classification compared with surgical findings // Neurosurgery. — 1993. — V.33. — P.610–618.
White W., Uu S.S. Pituitary apoplexy // Neurovascular Surgery / Eds. L.P. Carter, R.F. Spetzler. — N.Y.: McGraw-Hill, 1995. — P.497–519.
Zayour D.H., Selman W.R., Arafah B.M. Extreme elevation of intrasellar pressure in patient with pituitary tumor apoplexy: relation to pituitary function // J. Clin. Endocrinol. Metab. — 2004. — V.89, N11. — P.5649–5654.
Downloads
How to Cite
Issue
Section
License
Copyright (c) 2006 N. A. Guk
This work is licensed under a Creative Commons Attribution 4.0 International License.
Ukrainian Neurosurgical Journal abides by the CREATIVE COMMONS copyright rights and permissions for open access journals.
Authors, who are published in this Journal, agree to the following conditions:
1. The authors reserve the right to authorship of the work and pass the first publication right of this work to the Journal under the terms of Creative Commons Attribution License, which allows others to freely distribute the published research with the obligatory reference to the authors of the original work and the first publication of the work in this Journal.
2. The authors have the right to conclude separate supplement agreements that relate to non-exclusive work distribution in the form of which it has been published by the Journal (for example, to upload the work to the online storage of the Journal or publish it as part of a monograph), provided that the reference to the first publication of the work in this Journal is included.
