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垂体腺瘤有可能在蝶鞍以外的位置生长,包括颅内结节部,蝶鞍腹侧的蝶骨体内以及鼻咽腔的后面。据作者所知,本文报告的病例是颅内异位垂体腺瘤首次报导。15岁,男孩,在12岁以前患儿的生长和发育一直正常,此后发生癫痫,起初能用药物控制发作。入院前数月发作频繁,且伴有爆发性行为凶暴和头痛。在其他医院检查,为丘脑下部肿块并建议外科手术。
Pituitary adenomas may grow beyond the sella, including the intracranial nodules, the ventral sphenoid body of the sella, and the posterior nasopharyngeal cavity. According to the author’s knowledge, the case reported in this article is the first report of an intracranial heterotopic pituitary adenoma. At the age of 15, a boy, whose growth and development had been normal until the age of 12, had epilepsy since then and was initially able to control attacks with drugs. There were frequent episodes before admission and accompanied by violent behavior and headaches. In other hospitals, he examined the hypothalamus and recommended surgery.