例1 女18岁以不规律性头痛3个月,左眼视物模糊10余日于某院眼科就诊。查体:左眼视力手动/1m,瞳孔直径4mm,对光反应迟钝,眼球压痛阳性,角膜、晶体透明,前房清。右眼未见异常。双侧眼底镜检未见异常。诊断:左眼球后视神经炎。即给予氢考30mg,维生素B_1100mg、维生素B_(12)100μg,红霉素0.9g 每日一次静点。1周后左眼光感消失。摄蝶鞍片见蝶鞍明显增大,鞍底有骨质破坏,立即行头CT 增强冠扫,见鞍区占位病变,约3×3×3.5cm 大小,诊断为垂体瘤,转神经外科。追问病史,闭经一年余。查体见手足均轻度增大、增宽。于失明后第9天行大脑额瓣开颅垂体瘤切除术。术后第2天视力恢复指数/1m,术后半月视力恢复至 Example 1 Female 18 years old with irregular headache for 3 months, left eye blurred vision more than 10 days in a hospital ophthalmology. Physical examination: left eye vision manual / 1m, pupil diameter 4mm, slow reaction to light, eye tenderness positive cornea, crystal clear, clear anterior chamber. No abnormalities in the right eye. Bilateral ophthalmoscopy no abnormalities. Diagnosis: left eye retrobulbar neuritis. That is given hydrogen test 30mg, vitamin B_1100mg, vitamin B_ (12) 100μg, erythromycin 0.9g once daily static point. Left eye light perception disappeared after 1 week. See sella sella see sella increased significantly, saddle end of the bone destruction, immediately line CT enhanced crown scan, see the saddle area lesions, about 3 × 3 × 3.5cm size, diagnosis of pituitary tumor, neurosurgery. Asked history, amenorrhea more than a year. Physical examination showed slight increase in both hands and feet widened. On the 9th day after blindness, the craniocerebral patellar pituitary tumor was excised. Visual acuity recovery index / 1m on the second postoperative day, the visual acuity recovered to half a month after operation