论文部分内容阅读
1病例报告患者女,56岁。因阵发性头痛10余年加重1年,复视20余天于2008-04-12入院。分别于5、7年前有2次甲状腺肿瘤手术史。体检:浅表淋巴结未扪及肿大,颈软,颈前有一横行手术瘢痕,甲状腺未及肿大。外科查体左眼裂变小,左眼外斜视,视力0.6,右眼视力1.0,余脑神经基本正常。实验室检查:PRL 917.8μIU/mL(正常参考值72～511μIU/mL)。颅脑CT:鞍区见异常密度影,蝶骨体骨质变薄。颅脑MR:鞍区见片状异常信号,T1WI呈略低信号,内见囊样低信号影,向上达鞍
A case report patient female, 56 years old. Due to paroxysmal headache more than 10 years to aggravate 1 year, diplopia more than 20 days in 2008-04-12 admission. Five and seven years ago, respectively, there are 2 thyroid tumor surgery history. Physical examination: superficial lymph nodes palpable enlargement, neck soft, there is a transverse surgical scar before the neck, thyroid gland enlargement. Surgical examination of left fissure small, left eye exotropia, visual acuity 0.6, right eye vision 1.0, more than normal brain. Laboratory tests: PRL 917.8μIU / mL (normal reference 72 ~ 511μIU / mL). Brain CT: Saddle area to see the abnormal density, sphenoid bone thinning. Brain MR: Saddle area showed abnormal signal slice, T1WI was slightly lower signal, see the cyst-like low signal shadow, up to the saddle