Giant Intrasellar Arachnoid Cyst Manifesting as Adrenal Insufficiency Due to Hypothalamic Dysfunction : Case Report
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概要
- 論文の詳細を見る
A 67-year-old man first noticed loss of pubic and axillary hair in 1992 and then a visual field defect in 2001. He experienced loss of consciousness attributed to hyponatremia in April 2002. Magnetic resonance imaging showed a giant intrasellar cystic mass, 40 mm in diameter, that had compressed the optic chiasm. The patient complained of chronic headache, and neurological examination revealed bitemporal hemianopsia. Preoperative endocrinological examination indicated adrenal insufficiency, and hypothyroidism due to hypothalamic dysfunction. The patient underwent endonasal transsphenoidal surgery. The cyst membrane was opened and serous fluid was drained. Histological examination identified the excised cyst membrane as arachnoid membrane. The patient's headaches resolved postoperatively, but the bitemporal hemianopsia and endocrinological function were unchanged. This arachnoid cyst associated with hypothalamic dysfunction might have been caused by an inflammatory episode in the suprasellar region.
- 日本脳神経外科学会の論文
- 2005-03-15
著者
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YOSHIMINE Toshiki
Department of Neurosurgery, Osaka University Medical School
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SAITOH Youichi
Department of Neurosurgery, Osaka University Medical School
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Okita Kohei
Department Of Metabolic Medicine Graduate School Of Medicine Osaka University
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Okita Kohei
大阪大学 医学系研究科内分泌･代謝内科
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Yoshimine Toshiki
Department Of Neurosurgery Department Of Medicine Osaka University Graduate School Of Medicine Osaka
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Moriwaki Makoto
大阪大学 医学系研究科脳神経外科学
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Moriwaki Makoto
Division Of Endocrinology And Metabolism Department Of Medicine Osaka University Graduate School Of
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Moriwaki Makoto
Department Of Internal Medicine And Molecular Science Graduate School Of Medicine
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Miyagawa J
Division Of Diabetes & Metabolism Internal Medicine Hyogo College Of Medicine
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Miyagawa Jun-ichiro
大阪大学 医学系研究科内分泌･代謝内科
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Miyagawa Jun-ichiro
大阪大学 医系研究 分子制御内科
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MIYAGAWA JUN-ICHIRO
Division of Diabetes & Metabolism, Internal Medicine, Hyogo College of Medicine
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YASUDA Keitaro
Department of Neurosurgery,Department of Medicine,Osaka University Graduate School of Medicine,Osaka
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OKITA Kohei
Division of Endocrinology and Metabolism,Department of Medicine,Osaka University Graduate School of
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MORRIS Shayne
Department of Neurosurgery,Department of Medicine,Osaka University Graduate School of Medicine,Osaka
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Yasuda Keitaro
Department Of Neurosurgery Department Of Medicine Osaka University Graduate School Of Medicine Osaka
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Morris Shayne
Department Of Neurosurgery Department Of Medicine Osaka University Graduate School Of Medicine Osaka
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Yoshimine Toshiki
Department Of Neurosurgery Course Of Interventional Medicine (e1) Osaka University Graduate School O
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Saitoh Youichi
Department Of Neurosurgery Department Of Medicine Osaka University Graduate School Of Medicine Osaka
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Saitoh Youichi
Department Of Neuromodulation And Neurosurgery Office For University-industry Collaboration Osaka University
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