病例摘要患者,女,28岁,闭经3年,进行性视力减退2年入院。患者4年前始有月经不规则,3～4月来潮1次,3年前完全闭经,经妇科治疗无效。2年前感右眼视力减退,接着左眼视力也明显下降,两侧东西看不见。常有头痛,以右额部为主,时有发热。查体:一般情况可,心肺正常,腹部无特殊。两侧乳头均可挤出少许乳汁。右眼眼前指数,左眼0.08,双颞侧视野缺失,鼻侧视野管状缺失。两眼底视乳头苍白,血管纤细以右侧明显。 Case Summary Female, 28 years old, 3 years of amenorrhea, progressive visual impairment 2 years admitted. 4 years ago, patients had irregular menstruation, 3 to 4 month tide 1, 3 years ago completely amenorrhea, after gynecological treatment is invalid. 2 years ago, right eye vision loss, followed by left eye vision also decreased significantly, the two sides can not see things. Often headache, to the right forehead, sometimes fever. Physical examination: the general situation can be, normal heart and lungs, abdomen no special. Both sides of the nipple can squeeze a little milk. Right anterior index, left eye 0.08, bilateral temporal vision loss, nasal tubular disappearance of vision. Both eyes see the nipple pale, stenosis to the right obvious.