索马托罗普性垂体腺瘤的空; 一系列23个病例
Guive Sharifi1,2, Esmaeil Mohammadi3, Elham Paraandavaji2
1Department of Neurosurgery, Loghman Hospital, Shahid Beheshti University of Medical Science, Tehran, Iran.
Frontiers in surgery
|March 19, 2024
概括
空综合征经常在体性垂体腺瘤中观察到,特别是在壮症中. 这种情况涉及充满液体的和潜在的垂体位移,这是由于生长激素的过度生产引起的.
科学领域:
- 内分泌学 在内分泌学.
- 神经外科 神经外科
- 放射学 放射学是一门学科.
背景情况:
- 空综合征 (ESS) 是一种状况,在这种状况下,垂体腺不能完全安置在状内.
- 索马托罗菲性垂体腺瘤的特点是生长激素的过度产生,与各种并发症和解剖变化有关.
研究的目的:
- 为了调查发生,病因,并发症和空塞拉综合征的管理,在患者体性垂体腺瘤.
- 了解生长激素过量与ESS发展之间的关系.
主要方法:
- 自2013年以来管理的2000多起头骨底部质量病例的临床,手术和成像数据的回顾性分析.
- 识别患有生长激素产生腺瘤的患者,并在成像上对空进行评估.
主要成果:
- 在220种体腺瘤中,23种体腺瘤表现出空 (部分或完全).
- 常见的发现包括血清素水平升高,侵入相邻结构 (,,洞腔鼻) 和脑脊液 (CSF) 泄漏.
- 大多数患者需要生长激素替代疗法;九人没有它就控制了. 手术后的荷尔蒙乱是最小的.
结论:
- 空是脑垂体腺瘤的常见发现,特别是在巨症中,通常是由于组织变化和由多余生长激素引起的CSF压力变化.
- pituitary 腺可能被移位或被压缩,需要仔细评估和管理.
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