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垂体或下丘脑放射治疗,可引起脑的小或中等血管闭塞,并可加速动脉粥样硬化的发生。然而,引起卒中者罕见。本文介绍2例,分别在垂体放疗后13和20年发生脑梗塞。例1,女性,右利。26岁时因垂体嫌色细胞瘤接受垂体部分切除术。术后予头部放疗2月,剂量为5000cGY。39岁时因突发行为异常而住院。神经病学检查:嗜睡,意识模糊,但尚能认人。当手持式眼动性眼震仪移向其左侧时,可见其双侧快速扫掠运动减
Pituitary or hypothalamic radiation therapy can cause small or medium vascular occlusion of the brain and accelerate the development of atherosclerosis. However, stroke is rare. This article describes two cases of cerebral infarction 13 and 20 years after pituitary radiotherapy. Example 1, female, right-handedness. At the age of 26, pituitary chromocytoma was treated with partial pituitary resection. Postoperative radiotherapy to the head for 2 months, the dose of 5000cGY. At the age of 39, he was hospitalized because of an unexpected behavioral disorder. Neurological examination: lethargy, confusion, but still recognize people. When the hand-held eye-moving nystagmus moves to its left side, it can be seen that its bilateral rapid sweeping motion decreases.