由内 Carotid 动脉动脉瘤引起的 Hypopituitarism 的不寻常表现
Shria Datta1, Shyama Shyama1, Surya N Prasad2
1General Medicine, All India Institute of Medical Sciences Patna, Patna, IND.
Cureus
|November 25, 2025
概括
呈现了一种罕见的由内动脉动脉瘤引起的泛阴垂体病例. 这一发现强调了神经成像在诊断下垂体病的必要性,特别是当症状模仿垂体瘤时.
科学领域:
- 内分泌学 在内分泌学.
- 神经学 神经学
- 血管外科 血管外科
背景情况:
- 低垂体症通常是由垂体瘤引起的,血管病变,如内动脉瘤是罕见的病因.
- 内动脉动脉瘤 (ICA) 很少会成为下垂体病的原因,通常模仿垂体腺瘤.
研究的目的:
- 报告一个独特的泛阴垂体异位症的病例,该病例是由于上类ICA动脉瘤引起的.
- 突出考虑血管病变在低垂体病的差异诊断中的重要性,特别是在没有典型症状的情况下.
主要方法:
- 一名42岁的妇女呈现了泛位瘤症的症状,包括甲状腺功能低下,上腺功能不足和下腺症.
- 磁共振成像 (MRI) 揭示了一个空塞拉与左侧上类ICA动脉瘤;数字减去血管学证实了诊断.
- 患者成功地接受了动脉瘤的内血管卷积.
主要成果:
- 生物化学测试证实了带有二次性甲状腺功能低下症,上腺功能不足和下腺功能低下症的泛位.
- 神经成像检测出一个压缩下垂体腺的上类ICA动脉瘤.
- 干预后,患者的内分泌异常得到解决,她在激素替代疗法上保持稳定.
结论:
- 内动脉动脉瘤是一种异常原因的hypopituitarism,应在差异诊断中考虑.
- 这一案例凸显了神经成像在识别罕见的下垂体病原病的重要性,即使没有视觉或神经缺陷.
- 及时诊断和内血管治疗ICA动脉瘤对于预防严重的内分泌危机和神经复杂症至关重要.
相关概念视频
Arteries of the Head and Neck
2.9K
The human body's intricate network of arteries ensures that every organ system receives the necessary oxygen and nutrients for optimal function. The arterial network in the head and neck region is particularly complex, providing vital blood flow to the brain, eyes, and other critical structures. Prominent arteries in this region include the internal carotid arteries and the vertebral arteries.
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
The internal carotid arteries supply blood to the anterior portion of the cerebrum. They enter the...
2.9K
The Arch of Aorta
1.5K
The coronary arteries, originating from the ascending aorta, bifurcate from two sinuses located within the ascending aorta. Positioned just above the aortic semilunar valve, these sinuses house essential aortic baroreceptors and chemoreceptors, crucial for maintaining cardiac function. The left coronary artery and the right coronary artery branch off from the left posterior and anterior aortic sinuses, respectively.
Encircling the heart, the coronary arteries form a ring-like structure before...
Encircling the heart, the coronary arteries form a ring-like structure before...
1.5K
Aneurysm II: Clinical Manifestations and Diagnostic Studies
251
Thoracic, aortic arch and abdominal aneurysms are significant vascular conditions that can present with various clinical manifestations and lead to serious complications. Understanding these manifestations and the appropriate diagnostic studies is essential for effective management and treatment.Thoracic Aortic AneurysmsThoracic aortic aneurysms often remain asymptomatic until they reach a size that impinges on adjacent structures. They typically cause deep, diffuse chest pain that radiates to...
251
Aneurysm I: Introduction
330
An aortic aneurysm is a localized outpouching or dilation at a weak point in the artery wall. It may involve different parts of the aorta, such as the abdominal aorta, aortic arch, or thoracic aorta.Etiological factorsSeveral disorders are associated with aortic aneurysms.Congenital causes, such as primary connective tissue disorders like Marfan syndrome, impact the integrity and strength of connective tissues, notably affecting the aorta. Marfan syndrome is a genetic disorder that specifically...
330
Aneurysm III: Interprofessional Care
247
Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
247

