Sheehan`s syndrome beyond an empty sella : a case report / Erma Garcia.

By:

Garcia, Erma, MD [author]

Language: English Publication details: Fairview, Quezon City Department of Medicine, FEU-NRMF, 2004Description: illustrations and photos (black and white); (in folder)Content type:

text

Media type:

unmediated

Carrier type:

volume

LOC classification:

MED20040006

Summary: ABSTRACT: A 53 year-old woman was admitted to our hospital because of swelling of both lower extremities, progressive symptoms of fatigue and weakness of ten years duration. She had a history of severe post-partum hemorrhage eighteen years prior to admission. This is followed by cessation of menses after a year. Also noted was progressive thinning of axillary and pubic hair, development of low-pitched monotonous, bradykinesia, manifested as small step gait and feeling of coldness and pallor, Or endocrinologic examination, she was found to have severe adrenal insufficiency and hypothyroidism,, In addition to routine test and measurements of thyroid hormones level, magnetic resonance imaging (MRI) of the brain pituitary region was performed. The results of MRI showed acquired empty sella turcica likely 2 to atrophy of the adenohypophysis from prior infarction. We report a case of a profound panhypopituitarism revealing an empty sella syndrome. This case shows that empty sella syndrome, although a generally benign and asymptomatic condition, can be associated with hypopituitarism.

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Holdings
Item type	Current library	Call number	Status	Date due	Barcode
Research	Far Eastern University - Nicanor Reyes Medical Foundation Research	MED20040006 (Browse shelf(Opens below))	Available		R000115

Includes appendices and bibliographical references.

ABSTRACT: A 53 year-old woman was admitted to our hospital because of swelling of both lower extremities, progressive symptoms of fatigue and weakness of ten years duration. She had a history of severe post-partum hemorrhage eighteen years prior to admission. This is followed by cessation of menses after a year. Also noted was progressive thinning of axillary and pubic hair, development of low-pitched monotonous, bradykinesia, manifested as small step gait and feeling of coldness and pallor, Or endocrinologic examination, she was found to have severe adrenal insufficiency and hypothyroidism,, In addition to routine test and measurements of thyroid hormones level, magnetic resonance imaging (MRI) of the brain pituitary region was performed. The results of MRI showed acquired empty sella turcica likely 2 to atrophy of the adenohypophysis from prior infarction. We report a case of a profound panhypopituitarism revealing an empty sella syndrome. This case shows that empty sella syndrome, although a generally benign and asymptomatic condition, can be associated with hypopituitarism.

Research - Department of Medicine

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