腦垂體中風合併蛛網膜下腔出血及腦室出血：罕見病例報告

Pituitary Apoplexy with Subarachnoid Hemorrhage and Intraventricular Hemorrhage: a Rare Case Report

腦垂體中風是導致急性神經和內分泌障礙，不常見卻是己知的疾病。然而，由腦垂體中風引起蛛網膜下腔出血及腦室內出血的個案，在文獻中很少被報導。我們報導一位75歲的女性呈現嚴重頭痛和視力障礙，其腦部磁振照影檢查顯示有腦垂體大腺瘤，但住院期間在嬌正病患低血鈉時，病患發生急生神經功能缺損，追蹤的腦部電腦斷層檢查，發現有腦垂體中風合併瀰漫性蛛網膜下腔出血及腦室內出血。

Pituitary apoplexy is an uncommon but well-known condition that leads to acute deteriorated neurological and endocrinal deficits. However, subarachnoid hemorrhage and intraventricular hemorrhage resulting from pituitary apoplexy are rarely reported in the literature. We reported a 75-year-old female presenting with severe headache and visual impairment. Magnetic resonance images of the brain revealed a pituitary macroadenoma. Acute deteriorated neurological deficits developed after admission during the correction of hyponatremia. The computed tomographic scan of the brain revealed pituitary apoplexy with diffuse subarachnoid hemorrhage and intraventricular hemorrhage. The relevant literature is re- viewed.