MR of nonhemorrhagic postpartum pituitary apoplexy.
نویسندگان
چکیده
A 30-year-old woman had uterine bleeding and hypotension after delivery. Hyponatremic seizures and a mild headache prompted early neuroimaging, which disclosed an enlarged nonhemorrhagic pituitary gland with subsequent involution consistent with pituitary apoplexy (Sheehan syndrome). Endocrinologic investigation confirmed a partial pituitary insufficiency with subsequent improvement to almost normal status.
منابع مشابه
Sequential pituitary MR imaging in Sheehan syndrome: report of 2 cases.
We present the evolution of pituitary changes in the cases of 2 patients with Sheehan syndrome as assessed by MR imaging. Both patients had severe postpartum hemorrhage, symptoms of pituitary gland apoplexy, and hypopituitarism. Sequential MR imaging demonstrated evidence of ischemic infarct in the pituitary gland with enlargement followed by gradual shrinkage during several months, to pituitar...
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2. Lavallée G, Morcos R, Palardy J, Aubé M, Gilbert D. MR of nonhemorrhagic postpartum pituitary apoplexy. AJNR Am J Neuroradiol. 1995;16:1939—41. 3. Boulanger E, Pagniez D, Roueff S, Binaut R, Valat AS, Provost N, et al. Sheehan syndrome presenting as early post-partum hyponatremia. Nephrol Dial Transplant. 1999;14:2714—5. 4. Bunch TJ, Dunn WF, Basu A, Gosman RI. Hyponatremia and hypoglycemia ...
متن کاملVisceral leishmaniasis in a type 1 diabetic patient with isolated pancreas transplant
2. Lavallée G, Morcos R, Palardy J, Aubé M, Gilbert D. MR of nonhemorrhagic postpartum pituitary apoplexy. AJNR Am J Neuroradiol. 1995;16:1939--41. 3. Boulanger E, Pagniez D, Roueff S, Binaut R, Valat AS, Provost N, et al. Sheehan syndrome presenting as early post-partum hyponatremia. Nephrol Dial Transplant. 1999;14:2714--5. 4. Bunch TJ, Dunn WF, Basu A, Gosman RI. Hyponatremia and hypoglycemi...
متن کاملThe temporal association of sphenoid sinus mucosal thickening on MR imaging with pituitary apoplexy.
AIM Pituitary apoplexy is an infrequent but potentially devastating complication in patients with pituitary adenomas. Previous studies have cited an association between MR visualized sphenoid sinus mucosal thickening and apoplexy. However, uncertainties still remain on the significance and temporal association of this finding with pituitary apoplexy. We provide a clinical study that better deli...
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headache, vision loss, and ophthalmoplegia from pituitary hemorrhage or infarction characterize pituitary apoplexy,1,3,6–8 and MR imaging of the brain often demonstrates a pituitary mass with heterogeneous signal due to the presence of blood.7 Apoplexy typically occurs in a previously unrecognized pituitary adenoma, but it can also occur when the pituitary gland is normal. Various precipitating...
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ورودعنوان ژورنال:
- AJNR. American journal of neuroradiology
دوره 16 9 شماره
صفحات -
تاریخ انتشار 1995