HEMORRHAGIC PITUITARY-TUMORS

被引:28
作者
LAZARO, CM
GUO, WY
SAMI, M
HINDMARSH, T
ERICSON, K
HULTING, AL
WERSALL, J
机构
[1] KAROLINSKA SJUKHUSET,DEPT NEURORADIOL,S-10401 STOCKHOLM,SWEDEN
[2] KAROLINSKA SJUKHUSET,DEPT ENDOCRINOL,STOCKHOLM,SWEDEN
[3] KAROLINSKA SJUKHUSET,DEPT OTORHINOLARYNGOL,STOCKHOLM,SWEDEN
[4] PHILIPPINE GEN HOSP,DEPT RADIOL,MANILA,PHILIPPINES
关键词
PITUITARY TUMOR; HEMORRHAGE; MAGNETIC RESONANCE IMAGING; BROMOCRIPTINE MEDICATION;
D O I
10.1007/BF00588072
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
In a group of 69 patients with pituitary tumours, 12 were found to have evidence of intratumoral haemorrhage on MRI, characterized by high signal intensity on short TRITE sequences. This was verified in all but 1 patient. The majority of the bleedings occurred in macroadenomas. Five (42%) were prolactinomas and 4 (33%) were non-functioning adenomas. There were 2 GH- and 1 ACTH-secreting tumours. All 5 patients with prolactinomas were on bromocriptine medication. Two of the patients had a clinical picture of pituitary apoplexy. The haemorrhage was not large enough to prompt surgery in any of the patients. However, surgical verification of the diagnosis was obtained in 5 cases, while 6 patients were examined with follow-up MRI.
引用
收藏
页码:111 / 114
页数:4
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