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Acta clinica Croatica, Vol. 57. No. 4., 2018.

Other

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

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Abstract

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.

Keywords

Moždani udar; Dijabetes insipidus; Hipopituitarizam; Hipofiza, apopleksija; Meningitis

Hrčak ID:

217850

URI

https://hrcak.srce.hr/217850

Publication date:

1.12.2018.

Article data in other languages: english

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