初级垂体带异常成像特征:一个罕见的病例报告
Raghad Samha1, Maria Raya2, Marah Mansour3
1Faculty of Medicine, AlBaath University, Homs, Syrian Arab Republic.
International journal of surgery case reports
|May 18, 2024
概括
垂体 (PA) 是一种罕见的垂体腺感染. 及时诊断和手术和抗生素治疗对于患有这种疾病的患者的积极结果至关重要.
科学领域:
- 内分泌学 在内分泌学.
- 神经外科 神经外科
- 传染性疾病 传染性疾病
背景情况:
- 垂体 (PA) 是一种极其罕见的疾病,涉及Sella turcica内的感染性性集合.
- 脑膜炎可以是初级的 (感染前的正常垂体) 或二次的 (与先前存在的细胞病理或脑膜炎或鼻炎等感染相关).
- 由于非特异性症状和成像发现,诊断具有挑战性.
研究的目的:
- 呈现一种通过跨形手术和抗生素诊断和治疗的垂体的病例.
- 突出在患有快速视力下降的患者中考虑PA的重要性.
主要方法:
- 一名患有视力障碍的52岁男性接受了成像 (CT和MRI),揭示了细胞质.
- 转形手术证实了下垂体,在培养物中发现了金黄色葡萄球菌.
- 患者在手术后接受了12周的抗生素治疗.
主要成果:
- 患者在没有并发症的情况下康复,在两年的随访后不需要激素替代疗法.
- 以前的文献包括488名患者,其中318例是原发性垂体.
- 肺内膜透性的疏散,培养和量身定制的抗生素治疗是已确定的治疗方式.
结论:
- 垂体,虽然很少见,但必须考虑在出现迅速视力下降的患者.
- 建议在诊断后立即开始手术和抗生素治疗.
- 适当的治疗通常会导致患者的良好后果.
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