터키안 주위 내경동맥 동맥류에 의해 발생한 뇌하수체기능저하증 1예
Hypopituitarism Secondary to Paraclinoid Internal Carotid Artery Aneurysm
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초록
터키안 주위에 생긴 뇌동맥류에 의한 뇌하수체기능저하증은 매우 드물게 보고되고 있으며, 전체 뇌하수체기능저하증의 원인 중 0.2% 미만을 차지한다. 현재까지 전 세계적으로 약 50예가 보고되고 있고, 국내에서는 최근 1예가 보고된바 있다. 저자들은 터키안 주위의 내경동맥 동맥류에 의해뇌하수체기능저하증이 발생한 환자를 2년 추적 관찰하였던경험을 문헌고찰과 함께 보고하는 바이다.
Abstract
Pituitary insufficiency due to a sellar aneurysm is relatively uncommon. The prevalence of this disorder was <0.2% in a large cohort of patients with panhypopituitarism. While uncommon, a vascular sellar lesion should be included as a differential diagnosis for a sellar mass resulting in hypopituitarism. We report herein a case of hypopituitarism with hyperprolactinemia secondary to a large (1.7-cm) saccular aneurysm at the left paraclinoid internal carotid artery.
참고문헌 (9)
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