Clinical and morphological studies of pituitary and diencephalic space-occupying lesions before and after operation, with special reference to temperature regulation.

作者: H. -E. Clar

DOI: 10.1007/BF01808516

关键词: HypothalamusNeurosurgeryLesionPathologyHormoneMedicineBlood pressureDiabetes insipidusNeuroradiologyNeurology

摘要: In this study investigations are reported which analyze the clinical and morphological results in treatment of diencephalic tumours. Depending on their location, these tumours classified according to extent hypothalamic compression. The following parameters were studied: body temperature, blood pressure, pulse rate, serum electrolytes, water balance, glucose. Hormonal tests carried out detect disturbances pituitary function. findings verified by hypothalamus serial sections. covers 193 patients with sellar This analysis led conclusions: 1. The postoperative temperature course is a reliable parameter for diagnosis damage. 2. Diabetes insipidus evidence lesion. 3. Disturbances regulation glucose, rate signs diffuse lesion. 4. Endocrinological late phase indicate permanent damage. indicates that acute period permit evaluation These consistent Rothballer's observations pre-operative

参考文章(115)
E. Buchborn, K. Irmscher, Diabetes insipidus bei Tumoren der Hypophyse Springer, Berlin, Heidelberg. pp. 256- 262 ,(1969) , 10.1007/978-3-642-95126-8_45
J Gordon, J Malacara, J Bollinger, J B Martin, Y Grimm, S Reichlin, R L Boshans, M Mitnick, The hypothalamus in pituitary-thyroid regulation Recent Progress in Hormone Research. ,vol. 28, pp. 229- 286 ,(1972)
Alan B. Rothballer, Some Endocrine Manifestations of Central Nervous System Disease Bulletin of the New York Academy of Medicine. ,vol. 42, pp. 257- 283 ,(1966)
Burton L. Wise, Fluid and electrolytes in neurological surgery Thomas. ,(1965)
Sydney W. Stringer, Diabetes Insipidus Associated with Pinealoma Transplant in the Tuber Cinereum. Yale Journal of Biology and Medicine. ,vol. 6, pp. 375- 383 ,(1934)
Zaven H. Chakmakjian, John E. Bethune, Study of human growth hormone response to insulin, vasopressin, exercise, and estrogen administration. Journal of Laboratory and Clinical Medicine. ,vol. 72, pp. 429- 437 ,(1968) , 10.5555/URI:PII:0022214368901650
Naoki Kageyama, Ectopic pinealoma in the region of the optic chiasm: Report of five cases Journal of Neurosurgery. ,vol. 35, pp. 755- 759 ,(1971) , 10.3171/JNS.1971.35.6.0755
C. R. Pickardt, K. Horn, F. Erhardt, I. Marschner, Peter Christian Scriba, H. G. Heinze, Anterior Pituitary and TSH ,(1976)