主要单独的垂体垂体茎:病例报告和综述
Yuehui Ma1, Linghao Bu1, Jing Jin1
1Department of Neurosurgery, the First Affiliated Hospital, School of Medicine, Zhejiang University, Hangzhou, China.
Frontiers in endocrinology
|April 16, 2025
概括
一个罕见的垂体茎瘤被诊断在一个患者呈现中心糖尿病无味和hypopituitarism. 这项研究突出了此前未报告的这种疾病的关键放射学和病理学发现.
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:
- 垂体茎 (PS) 是以前未报告的疾病.
- 这一区域的可以呈现出复杂的内分泌和视觉症状.
- 准确的诊断需要整合临床,放射学和病理学数据.
研究的目的:
- 报告第一个垂体茎的病例.
- 描述临床表现,包括中央糖尿病无味症 (CDI),下垂体病,高血糖血症和视力模糊.
- 突出从成像和组织病理学的诊断线索,并审查现有的文献.
主要方法:
- 一个67岁的女性患者,有相关症状的病史超过3个月.
- 研究室对内分泌功能障碍的研究 (CDI,下垂体病,超益生菌血症).
- 磁共振成像 (MRI) 用于垂体茎的评估.
- 跨形手术用于诊断和治疗.
- 手术样本的组织病理学检查.
- 手术后使用抗生素和激素替代疗法.
主要成果:
- 核磁共振显示了一个孤立的,囊性,加厚的垂体茎与戒指增强.
- 手术检查证实了带有质物质的垂体茎.
- 组织病理学显示炎症细胞透和淋巴细胞增殖.
- 患者在抗生素和激素替代疗法下恢复良好,在3年内没有复发.
结论:
- 这个案例引入了垂体茎作为一个独特的临床实体.
- 典型的MRI发现包括囊变厚和PS的环增强.
- 成功管理涉及手术排水,抗生素和适当的激素替代.
相关概念视频
Hypothalamic-Pituitary Axis
48.9K
The response to stress—be it physical or psychological, acute or chronic—involves activation of the Hypothalamic-Pituitary-Adrenal (HPA) axis. The HPA axis is part of the neuroendocrine system because it involves both neuronal and hormonal communication. Its function is to regulate homeostatic systems—metabolic, cardiovascular, and immune—providing the necessary means to respond to a stressor.
48.9K
Case Studies
11.3K
There are many research methods available to psychologists in their efforts to understand, describe, and explain behavior and the cognitive and biological processes that underlie it.
11.3K
The Pituitary Gland
13.0K
The pituitary is a small endocrine organ in the sphenoid bone under the hypothalamus. Primarily, the pituitary in adults has two distinct anatomical and functional regions— the anterior and posterior lobes. During human fetal development, a third pituitary gland region called the pars intermedia atrophies and disappears. However, some of its cells migrate and exist adjacent to the anterior pituitary in adults.
13.0K
Hormones of the Pituitary Gland
14.2K
The small, pea-sized pituitary gland is located at the base of the brain. It is crucial in regulating various bodily functions, from growth to reproduction. The gland is divided into the anterior lobe and the posterior lobe. The secretory cell clusters in the pars distalis of the anterior pituitary lobe are controlled by hypothalamic regulators and synthesize six primary hormones.
The most abundantly secreted hormone from the anterior lobe is the growth hormone, which controls overall growth by...
The most abundantly secreted hormone from the anterior lobe is the growth hormone, which controls overall growth by...
14.2K
Cushing Syndrome I: Introduction
35
Cushing syndrome refers to the collection of clinical manifestations that arise when tissues are exposed to excessive amounts of cortisol or cortisol-like medications over an extended period. Cortisol, a glucocorticoid produced by the adrenal cortex, regulates metabolism, immune responses, and the body’s adaptation to stress. When its concentration remains chronically elevated, these physiological pathways become dysregulated, resulting in the characteristic features of the...
35
Cushing Syndrome II: Pathophysiology
24
Cortisol production is normally governed by the hypothalamic–pituitary–adrenal (HPA) axis, which maintains hormonal balance through tightly regulated feedback mechanisms. Disruption of this regulatory system is central to the development of Cushing syndrome, whether the excess cortisol originates from external medications or internal pathology. Persistent cortisol elevation alters metabolism, immune function, and endocrine signaling, producing the characteristic clinical features...
24


