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1
題名:Acromegaly with Pituitary Tumor Apoplexy: A Case Report     (10點)
肢端肥大症併腦垂體瘤中風:病例報告
著者:Yu-Hsin Cheng(鄭玉欣) ;Yi Liu(劉怡) ;Ann-Shung Lieu(劉安祥)
出版地區:台灣
出版城市:台北市
學科:醫學綜合
關鍵字:肢端肥大症 ; 腦中風 ; 腦垂體腺瘤 ; acromegaly ; apoplexy ; pituitary adenoma
刊名:Journal of Emergency and Critical Care Medicine
卷期:23卷1期(2012.3)
頁碼:29-33
語言:英語
摘要: 中文摘要PDF ; 英文摘要PDF

在功能性腦垂體腺瘤合併中風的患者中,以泌乳激素瘤較為常見,肢端肥大症併腦垂體瘤中風的患者較為少見,故在此提出一病例報告。一位十九歲男性患者,其入院主訴為慢跑後發生劇烈頭痛並有嘔吐眩暈之現象,患者外表表現典型肢端肥大症之特徵,腦部電腦斷層及核磁共振檢查顯示蝶鞍內腫瘤併出血,以經蝶竇方式將腫瘤切除,在術中發現腫瘤內有血腫的情形,病理報告為腦垂體腺瘤,術後二個月追蹤血清中生長激素及類胰島素生長因子皆恢復至正常。此患者在臨床上以劇烈頭痛表現,須與顱內動脈瘤破裂導致的出血做一鑑別診斷,腦部電腦斷層可做為一初步及快速排除動脈瘤破裂之檢查工具。
Of functioning pituitary macroadenomas with apoplexy, prolactinoma is predominant. Acromegaly due to pituitary macroadenoma associated with apoplexy is a rare phenomenon. Herein, we report a case. The 19-year-old male was admitted with a chief complaint of headache with nausea and vomiting after jogging. His gross appearance was with typical feature of acromegaly. Brain computed tomography (CT) and magnetic resonance imaging (MRI) showed an intrasellar tumor with hemorrhage. Transsphenoidal removal of pituitary tumor was done and intratumoral hematoma was found during operation. Microscopic histology showed pituitary adenoma. Two months after surgery, his serum levels of growth hormone and insulin-like growth factor-1 were normal. The clinical manifestation of this patient must be differentiated from a ruptured aneurysm, which can be identified by brain CT scan in early approach.


    

本卷期目次
Journal of Emergency and Critical Care Medicine 23卷1期 (2012.3)
Adjuvant Treatment with Fish Oil-based Lipid Emulsion for Patients with Septic Shock in Intensive Care Unit: A Clinical Safety Evaluation/ Boon-Siang KhorSing-Yi LinHuang-Sheng ChenKou-Chou HsiehMei-Chih YehMing-Pin WuYih TingHow-Chin LiaoShiumn-Jen Liaw
Pneumoperitoneum Caused by Ruptured Gas-Containing Pyogenic Liver Abscess: A Case Report and Literature Review/ Chih-Chung ChaoSung-Yuan HuYing-Hock Teng
Spontaneous Pneumomediastinum and Subcutaneous Emphysema after Jogging: Successful Resolution with Conservative Treatment/ Fu-Yuan SiaoWoei-Horng ChaiChun-Wen ChiuChin-Fu ChangChu-Chung ChouChun-Chieh Chiu
Superior Mesenteric Artery Syndrome: A Case Report/ Min-Po HoChang-Ming LiuKaung-Chau TsaiYuan-Hui Wu
Acromegaly with Pituitary Tumor Apoplexy: A Case Report/ Yu-Hsin ChengYi LiuAnn-Shung Lieu
Pneumonia and Acute Respiratory Distress Syndrome in a Patient with Influenza A (H1N1)/ Deng-Wei ChouKuo-Mou Chung
Obturator Hernia with Small Bowel Incarceration/ Min-Chieh ShiehChi-Wen TuChing-Chung ChiangChi-Szu Liao
Ovarian Torsion: An Interesting Plain Abdominal Radiograph of an Ovarian Teratoma/ Jian-Lin OuFang-Shun LinChung-Cheng LeeChiing-Hsiang SuChung-Jen Weng
 
   
 
   

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