CAJ | 학술논문

目的通过回顾性分析文献,总结有垂体卒中导致的脑梗死的临床特点以增进对之认识.方法通过检索Pubmed、Medline、维普和万方电子数据库,对1950年~2011年间有关垂体卒中所致脑梗死的病例报道进行分析.结果共纳入英文文献19篇,共计患者21例,临床症状主要为意识障碍(81畅0%)、突发的头痛(76畅2%)、视力障碍(61畅9%)、眼外肌麻痹(52畅4%)和偏瘫(71畅4%)等.52畅4%的患者累及多支血管.机械性压迫和血管痉挛是垂体卒中所致脑梗死的主要机制.16例患者接受了经蝶或经颅手术治疗,接受急诊手术的7例中有4例(57畅1%)患者出现死亡,明显高于择期手术患者(P<0畅05).结论垂体卒中所致脑梗死临床症状危重,预后较差,急诊手术的死亡风险较大.
목적통과회고성분석문헌,총결유수체졸중도치적뇌경사적림상특점이증진대지인식.방법통과검색Pubmed、Medline、유보화만방전자수거고,대1950년~2011년간유관수체졸중소치뇌경사적병례보도진행분석.결과공납입영문문헌19편,공계환자21례,림상증상주요위의식장애(81창0%)、돌발적두통(76창2%)、시력장애(61창9%)、안외기마비(52창4%)화편탄(71창4%)등.52창4%적환자루급다지혈관.궤계성압박화혈관경련시수체졸중소치뇌경사적주요궤제.16례환자접수료경접혹경로수술치료,접수급진수술적7례중유4례(57창1%)환자출현사망,명현고우택기수술환자(P<0창05).결론수체졸중소치뇌경사림상증상위중,예후교차,급진수술적사망풍험교대.
@@@@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 .