神经病学与神经康复学杂志Issue(1)：5-7,3.
垂体卒中导致脑梗死的系统分析
Cerebral infarction caused by pituitary apoplexy:a systemic analysis
潘元美 1李焰生1
作者信息
- 1. 上海交通大学医学院附属仁济医院神经内科，上海 200127
- 折叠
摘要
Abstract
Objective To characterize the clinical features of the cerebral infarction caused by pituitary apoplexy by systemic analysis of the literatures. Methods A literature (from 1950 to 2011) rearch about the cerebral infarction caused by pituitary apoplexy were performed using the reference database Pubmed , Medline, and Chinese database (Wei Pu and Wan Fang). Results A total of 19 English published literatures with 21 patients were collected for analysis.The clinical symptoms mainly were disturbance of consciousness (81.0%), sudden headache (76.2%), visual impairment (61.9%), ophthalmoplegia (52.4%), and hemiplegia (71.4%).About 52.4%of patients had multi-vessel involvement.Mechanical pressure and vasospasm were considered as the pathogenesis of cerebral infarction caused by pituitary apoplexy .16 patients had received transsphenoidal or transcranial surgical treatment.Among them, 7 patients had urgent surgery and 4 patients died, which was significantly higher than that of the patients got elective surgery (P<0.05). Conclusion Pituitary apoplexy caused cerebral infarction is a rare but critical condition hasing a poor prognosis and high mortality by urgent surgery .关键词
垂体卒中/脑梗死/临床特征/系统分析Key words
pituitary apoplexy/cerebral infarction/clinical features/systemic analysis分类
医药卫生引用本文复制引用
潘元美,李焰生..垂体卒中导致脑梗死的系统分析[J].神经病学与神经康复学杂志,2013,(1):5-7,3.
