Sheehan`s syndrome beyond an empty sella : a case report /
Erma Garcia.
- Fairview, Quezon City Department of Medicine, FEU-NRMF, 2004
- illustrations and photos (black and white); (in folder)
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.