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目的分析垂体卒中的发病因素和临床特点。方法回顾分析 18例垂体卒中的临床资料。结果主要症状 :头痛 12例 ,视力减退 12例。阳性体征 :颞侧偏盲 6例 ,瞳孔不等大 3例 ,动眼神经受损 2例 ,外展神经受损 2例。影像学检查 :CT有阳性改变 4例 ,MRI有阳性改变 6例。肿瘤直径大于 2 cm 13例 ,小于 2 cm 5例。嫌色细胞腺瘤 11例。 18例均手术治疗。结论垂体卒中临床表现不典型 ,多突然发病或原有症状突然加重 ,以头痛、视力减退为主。 CT及 MRI阳性改变有助于诊断
Objective To analyze the incidence and clinical features of pituitary apoplexy. Methods The clinical data of 18 cases of pituitary apoplexy were retrospectively analyzed. Results The main symptoms: headache in 12 cases, 12 cases of vision loss. Positive signs: temporal hemianopsia in 6 cases, pupil unequal in 3 cases, oculomotor nerve damage in 2 cases, abducens nerve damage in 2 cases. Imaging examination: CT positive changes in 4 cases, MRI positive changes in 6 cases. Tumor diameter greater than 2 cm in 13 cases, less than 2 cm in 5 cases. 11 cases of chromophobe adenoma. Eighteen cases were treated surgically. Conclusion The clinical manifestations of pituitary apoplexy atypical, sudden or sudden increase in the original symptoms, headache, vision loss-based. Positive CT and MRI changes help diagnosis