2001
DOI: 10.1590/s0004-282x2001000600013 View full text |Buy / Rent full text
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Abstract: RESUMO -Objetivo: Analisar a disfunção hormonal pré-operatória, clínica e/ou laboratorial, das lesões intracranianas não hipofisárias da linha média e região peri-selar. Método: Foram analisados 44 pacientes com lesões intracranianas não hipofisárias, com exames de imagem (tomografia computadorizada ou ressonância magnética) e dosagens hormonais basais; 16 tinham provas de função hipotálamo-hipofisária (megateste) pré-operatórios. Esses pacientes foram divididos em dois grupos: Grupo I -34 lesões da linha médi… Show more

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“…On follow up, patient presented several features inconsistent with a pituitary adenoma, such as concomitant central diabetes insipidus, high testosterone levels without exogenous steroid use and rapid tumor growth, being the latter the major clue for seeking an alternative diagnosis in this patient. Several cases have been reported of sellar GCT and the usual presenting symptoms are hypogonadism, central diabetes insipidus, visual field defects and hyperprolactinemia [17,24,27]. Of these findings, only central diabetes insipidus is inconsistent with pituitary adenoma, although not pathognomonic of GCT.…”
Section: Discussionmentioning