Hypothalamic hypopituitarism in a patient with a basal encephalocoele--treatment with luteinizing hormone-releasing hormone.
A 20-year-old patient presented with primary amenorrhoea and growth hormone deficiency caused by a basal encephalocoele. She was found to have developed diabetes insipidus in the 8 years following diagnosis. Gonadotrophin release in response to bolus injection of luteinizing hormone-releasing hormone (LHRH) was normal, as was thyrotrophin and adrenocorticotrophin (ACTH) secretion. Pulsatile administration of LHRH by the subcutaneous route resulted in normal ovulation and subsequent menstruation. The investigation and management of patients with basal encephalocoeles are discussed in the light of these findings.
D000328:Adult; D000568:Amenorrhea / Q000209:etiology; D003919:Diabetes Insipidus / Q000209:etiology; D004677:Encephalocele / Q000150:complications*; D005260:Female; D007987:Gonadotropin-Releasing Hormone / Q000627:therapeutic use*; D013006:Growth Hormone / Q000172:deficiency; D006801:Humans; D007006:Hypogonadism / Q000209:etiology; D007018:Hypopituitarism / Q000188:drug therapy* / Q000209:etiology; D007027:Hypothalamic Diseases / Q000188:drug therapy* / Q000209:etiology
D007987:Gonadotropin-Releasing Hormone; D013006:Growth Hormone