http://chineseinput.net/에서 pinyin(병음)방식으로 중국어를 변환할 수 있습니다.
변환된 중국어를 복사하여 사용하시면 됩니다.
두개인두종 수술시 뇌하수체경이 절단된 환자에서 요붕증의 자연해소 -증례보고-
김지훈 ( Ji Hun Kim ),고정호 ( Jung Ho Go ),김현우 ( Hyun Woo Kim ),하호균 ( Ho Gyun Ha ),정철구 ( Chul Ku Jung ) 대한뇌종양학회·대한신경종양학회·대한소아뇌종양학회 2009 대한뇌종양학회지 Vol.8 No.2
A 27-year-old man visited to our institute suffered from diabetes insipidus(DI) symptoms and progressively decreasing visual acuity. The brain magnetic resonance imaging(MRI) showed 4.4×4.3×3.8 cm sized brain tumor situated on the suprasella area and his symptoms and laboratory findings were compatible with panhypopituitarism. Surgery was scheduled and craniotomy via right pterional, trans-lamina terminalis approach was performed and total removal was achieved. However, in the last stageght procedure, proximal pemoval was ach, which was the origin site lasttr, was the origin site for that tumor, was transected. The pathology was confirmed for craniopharyngioma and postoperatively, headache was improved 3 days after the surgery. Panhypopituitarism needed continuous hormonal replacement therapy but interestingly, DI symptoms were improved spontaneously, 5 days after surgery through administration of 6 times of vasopressin for 4 days. With review of the literatures, the authors reports the case of craniopharyngioma that the DI symptoms were resolved spontaneously, despite of transectioning of the pituitary stalk during surgery.