雑誌文献を検索します。書籍を検索する際には「書籍検索」を選択してください。

Neurological Surgery No Shinkei Geka Volume 19, Issue 9 （September 1991）

Neurological Surgery 脳神経外科 19巻9号（1991年9月発行）

Japanese English

症例

妊娠中に経蝶形骨洞的下垂体腺腫摘出術を施行した1例—その術前後の管理を中心に A Report of a Transsphenoidal Operation during Pregnancy for a Pituitary Adenoma 大坪俊昭 ¹ , 朝倉哲彦 ¹ , 門田紘輝 ¹ , 高崎孝二 ¹ , 内村公一 ¹ , 牧内恒夫 ¹ , 上津原甲一 ¹ , 堂地勉 ² Toshiaki OHTSUBO ¹ , Tetsuhiko ASAKURA ¹ , Kouki KADOTA ¹ , Kouji TAKASAKI ¹ , Kouichi UCHIMURA ¹ , Tsuneo MAKIUCHI ¹ , Kouichi UETSUHARA ¹ , Tsutomu DOUCHI ² ¹鹿児島大学脳神経外科 ²鹿児島大学産婦人科 ¹Department of Neurosurgery, Kagoshima University, Faculty of Medicine ²Department of Obstetrics and Gynecology, Kagoshima University Faculty of Medicine キーワード： Pituitary adenoma , Pituitary apoplexy , Pregnancy , Transsphenoidal approach , MRI Keyword: Pituitary adenoma , Pituitary apoplexy , Pregnancy , Transsphenoidal approach , MRI pp.867-870

発行日 1991年9月10日 Published Date 1991/9/10

DOI https://doi.org/10.11477/mf.1436900324

PDF(5001KB)

有料閲覧

Abstract 文献概要
1ページ目 Look Inside

I．緒言

　今回，われわれは2回の妊娠，出産により視力，視野等の症状の増悪，寛解を繰り返すという興味ある臨床症状を呈し，妊娠中に経蝶形骨洞的腺腫摘出術を施行した1例を経験した．

　文献的にわれわれの渉猟しえた範囲内では，妊娠中の腺腫摘出術は，開頭術では数例見られるが^{1-4,6,7,14）}，経蝶形骨洞的腺腫摘出術を行った報告は国外にわずかに1例を見るのみである^16）．症例を呈示すると共に妊娠中の下垂体腺腫の管理法を中心に，文献的考察も含めて報告する．

Abstract

A 29-year old female, in her second pregnancy, com-plained of headache, nausea, vomiting and left blurred vision. In spite of improvement of these symptoms in the second postpartum, she complained of recurrent symptoms in her third pregnancy. CT and MRI showeda pituitary adenoma with hematoma. It was totally re-moved using the transsphenoidal approach during preg-nancy at 8 months. The histological examination re-vealed that the tumor was an acidophilic adenoma with a hemorrhagic change. A healthy baby was born at the full term after the operation. Our transsphenoidal op-eration during pregnancy was only the second such attempt reported in our collected literature. The man-agement of the pituitary tumor during pregnancy is dis-cussed.