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原发性垂体癌转移是罕见的,一些作者否认它的存在。本文报告一例病理证实的原发性垂体癌伴颅外或脑脊髓转移。病人女性,60岁。突发严重的左眼球后头痛伴复视和左眼上睑下垂。入院时除左第Ⅲ颅神经麻痹外,生命体征和全身检查均正常。视力、视乳头正常。血沉34mm/小时、FSH、LH、TSH、T_3、T_4、血清皮质醇均正常。头颅X线平片及CT扫描均正常。双侧颈动脉造影示颈内动脉海绵窦段及窦上段狭窄。脑脊液蛋白130mg%。拟诊血管炎行强的松治疗。三周后,左眼完全不能运动,但视力仍正常。检
Primary pituitary metastases are rare and some authors have denied its existence. This article reports a case of pathologically confirmed primary pituitary carcinoma with extracranial or cerebrospinal metastasis. Female patient, 60 years old. Severe left eyeball headache with diplopia and left eye ptosis. At the time of admission, except for left third cranial nerve palsy, vital signs and systemic examination were normal. Vision and optic nerve are normal. ESR 34mm/hour, FSH, LH, TSH, T_3, T_4, serum cortisol were all normal. Skull X-rays and CT scans were normal. Bilateral carotid angiography showed an internal stenosis of the internal carotid cavernous sinus and upper sinus. Cerebrospinal fluid protein 130mg%. It is intended to treat vasculitis by prednisone treatment. After three weeks, the left eye could not exercise at all, but the vision was still normal. Inspection