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Case No. 102
0000-00-00~0000-00-00
출제자 : 관리자
Hit : 408
| Period | 0000-00-00~0000-00-00 |
|---|---|
| Diagnosis | |
| Clinical information | 29세 남자. 말다툼을 하던 중 갑자기 발생한 right ptosis, right periorbital pain을 주소로 내원. |
| Discussion | 정답: Pituitary Apoplexy *Acute clinical syndrome with headache, visual defects/ophthalmoplegia, altered mental status, variable endocrine deficiencies *Sellar and suprasellar mass with peripheral enhancement,+/- hemorrhage *Early acute: enlarged gland, iso/hypointense with brain *Late acute/subacute:hyperintense *Acute compression of hypothalamus, optic chiasm may cause hyperintensity along optic tracts *Restricted diffusion within adenoma may be early sign of apoplexy *ADC map : markedly decreased signal intensity *Differential diagnosis: nonhemorrhagic pituitary macroadenoma, giant thrombosed intrasellar aneurysm, primary intrapituitary hemorrhage |
| Correct answer |
Correct AnswerSemi-Correct Answer |