Spontaneous pituitary apoplexy with transient panhypopituitarism and diabetes insipidus.
A 40-year-old patient presented with intractable headache, panhypopituitarism and diabetes insipidus 5 months after a severe shock syndrome. The magnetic resonance imaging of the brain confirmed a hemorragic necrosis of the pituitary gland. On follow-up, the patient recovered a normal pituitary function, except for the persistence of a partial ACTH deficiency. The pituitary image also normalized. Pituitary apoplexy is a rare disease of severe prognosis due to its neurological and endocrine consequences. It can now be more easily recognized by the new imaging techniques.
Mauerhoff
T
T
Service d'Endocrinologie et Nutrition Cliniques Universitaires St. Luc, UCL-DIAB 5474, Bruxelles.
Leveque
P
P
Lambert
A E
AE
D000328:Adult; D001921:Brain / Q000473:pathology; D003919:Diabetes Insipidus / Q000150:complications*; D006261:Headache / Q000209:etiology; D006801:Humans; D007018:Hypopituitarism / Q000097:blood / Q000150:complications*; D008279:Magnetic Resonance Imaging; D008297:Male; D010899:Pituitary Apoplexy / Q000150:complications* / Q000175:diagnosis; D010907:Pituitary Hormones / Q000097:blood
D010907:Pituitary Hormones