Acta clinica Croatica, Vol. 57. No. 4., 2018.
Ostalo
https://doi.org/10.20471/acc.2018.57.04.20
Ishemijska apopleksija hipofize, hipopituitarizam i dijabetes insipidus: trijada specifična za nekrotizirajući hipofizitis
Miroslav Ćaćić
; Mladen Sekso Department of Endocrinology, Diabetes and Metabolic Diseases, Sestre milosrdnice University Hospital Center, School of Medicine, University of Zagreb, Zagreb, Croatia
Jelena Marinković
; Mladen Sekso Department of Endocrinology, Diabetes and Metabolic Diseases, Sestre milosrdnice University Hospital Center, School of Medicine, University of Zagreb, Zagreb, Croatia
Ivan Kruljac
; Mladen Sekso Department of Endocrinology, Diabetes and Metabolic Diseases, Sestre milosrdnice University Hospital Center, School of Medicine, University of Zagreb, Zagreb, Croatia
Božidar Perić
; Mladen Sekso Department of Endocrinology, Diabetes and Metabolic Diseases, Sestre milosrdnice University Hospital Center, School of Medicine, University of Zagreb, Zagreb, Croatia
Vatroslav Čerina
; Department of Neurosurgery, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Darko Stipić
; Department of Neurosurgery, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Leo Pažanin
; Ljudevit Jurak Department of Pathology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Hrvoje Ivan Pećina
; Department of Radiology, Sestre milosrdnice University Hospital Center, Zagreb, Croatia
Milan Vrkljan
; Mladen Sekso Department of Endocrinology, Diabetes and Metabolic Diseases, Sestre milosrdnice University Hospital Center, School of Medicine, University of Zagreb, Zagreb, Croatia
Sažetak
Autori prikazuju rijedak slučaj nekrotizirajućeg hipofizitisa u 52-godišnjeg muškarca koji se inicijalno prezentirao apopleksijom hipofize i sterilnim meningitisom. Ovaj slučaj ukazuje na mogućnost da je dijagnozu nekrotizirajućeg hipofizitisa moguće postaviti i bez biopsije ako postoji patognomonična trijada ovoga sindroma: dijabetes insipidus, hipopituitarizam i radiološki znakovi ishemijske apopleksije hipofize. Dodatno, ovo je prvi opisani slučaj sterilnog meningitisa uzrokovanog ishemijskom apopleksijom hipofize.
Ključne riječi
Moždani udar; Dijabetes insipidus; Hipopituitarizam; Hipofiza, apopleksija; Meningitis
Hrčak ID:
217850
URI
Datum izdavanja:
1.12.2018.
Posjeta: 2.369 *