内 Carotid 动脉动脉瘤伪装成垂体巨瘤
Neha Mulpuri1, Hans K Ghayee2, Jessica Abramowitz3
1Department of Internal Medicine, UT Southwestern Medical Center, Dallas, TX 75390, USA.
JCEM case reports
|November 1, 2023
概括
巨大的内 Carotid 动脉 (ICA) 动脉瘤可以导致hypopituitarism和 hyperprolactinemia. 通过CT血管造影及时诊断对于有效治疗和解决垂体功能障碍至关重要.
科学领域:
- 神经学 神经学
- 内分泌学 在内分泌学.
- 血管外科 血管外科
背景情况:
- 垂体下垂体是罕见的,但可能是由内动脉 (ICA) 动脉瘤引起的.
- 巨大的ICA动脉瘤可以呈现为细胞质,模仿垂体腺瘤.
- 由于细胞病变的"茎效应",可以发生超性乳腺血症.
研究的目的:
- 呈现一种罕见的下垂体病变和高血,由巨型右侧ICA动脉瘤引起.
- 强调在评估大细胞和洞腔鼻病变时排除ICA动脉瘤的重要性.
- 以突出通过内血管栓塞成功管理垂体功能障碍.
主要方法:
- 评估了一名56岁的妇女,患有垂体功能障碍的症状.
- 磁共振成像 (MR) 显示了一个细胞质量.
- 计算机断层扫描血管学 (CTA) 发现了一个巨大的右ICA动脉瘤.
- 动脉瘤被用血管内栓塞和支架安置来治疗.
主要成果:
- 这位患者出现了二次上腺功能不充分,中央下腺功能不充分,甲状腺功能低下以及轻度的高甲状腺功能不充分.
- 医疗诊断局证实了一个巨大的右侧ICA动脉瘤,压缩了垂体腺和视觉.
- 栓塞后,生物化学测试显示上腺功能不充分的解决方案,正常化前素,和增加的淋巴激素.
- 疲劳,头痛和视力模糊的症状有所改善.
结论:
- 巨型ICA动脉瘤是一种罕见但重要的低垂体动脉瘤和高甲状腺动脉瘤的原因.
- CTA对于诊断大洞鼻病变至关重要,以排除ICA动脉瘤.
- 对ICA动脉瘤的内血管治疗可以有效地解决相关的垂体功能障碍.
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