THE ASSOCIATION OF HYPOPITUITARISM WITH SMALL PITUITARY, INVISIBLE PITUITARY-STALK, TYPE-1 ARNOLD-CHIARI MALFORMATION, AND SYRINGOMYELIA IN 7 PATIENTS BORN IN BREECH POSITION - A FURTHER PROOF OF BIRTH INJURY THEORY ON THE PATHOGENESIS OF IDIOPATHIC HYPOPITUITARISM

被引：39

作者：

FUJITA, K

MATSUO, N

MORI, O

KODA, N

MUKAI, E

OKABE, Y

SHIRAKAWA, N

TAMAI, S

ITAGANE, Y

HIBI, I

机构：

[1] SAITAMA CHILDRENS MED CTR,DIV ENDOCRINOL & METAB,IWATSUKI,JAPAN

[2] NAGOYA NATL HOSP,DEPT NEUROL,NAGOYA,JAPAN

[3] NATL CHILDRENS HOSP,DIV ENDOCRINOL & METAB,TOKYO 154,JAPAN

[4] KEIO UNIV,DEPT PAEDIAT,TOKYO 108,JAPAN

[5] NAGOYA UNIV,DEPT PAEDIAT,NAGOYA,AICHI 464,JAPAN

[6] KYUSHU UNIV,DEPT PAEDIAT,FUKUOKA 812,JAPAN

[7] UNIV TOKUSHIMA,DEPT PAEDIAT,TOKUSHIMA 770,JAPAN

来源：

EUROPEAN JOURNAL OF PEDIATRICS | 1992年 / 151卷 / 04期

关键词：

HYPOPITUITARISM; ARNOLD-CHIARI MALFORMATION; SYRINGOMYELIA; BREECH DELIVERY; MAGNETIC RESONANCE IMAGING;

D O I：

10.1007/BF02072226

中图分类号：

R72 [儿科学];

学科分类号：

100202 ;

摘要：

We report seven cases of hypopituitarism all having a history of breech delivery, asphyxia at birth, and syringomyelia. A small pituitary gland was found on MRI or CT in six cases, invisible pituitary stalk on MRI in five cases, and type 1 Arnold-Chiari malformation in six cases. A constellation of these abnormalities are best explained by traction of brain and spinal cord of the subjects exerted during breech delivery and further support the primary role of birth trauma in the genesis of "idiopathic hypopituitarism".

引用

页码：266 / 270

页数：5

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