[Preservation of gonadotrophic function and pregnancy in Sheehan's syndrome: a case report and review of the literature].
Pregnancy occurring in patient with Sheehan's syndrome is seldom described. It depends on the preservation of LH and FSH secretion after the pituitary apoplexy event. PURPOSE--To report a patient with Sheehan's syndrome who became pregnant twice after the pituitary apoplexy episode and to discuss the maintenance of gonadotrophic function. METHOD--Clinical aspects are described and the pituitary reserve evaluation was performed as well as a computerized tomography and a magnetic resonance imaging of the brain. RESULTS--Gonadotrophic and thyrotrophic function were preserved and the neuroradiologic evaluation disclosed an empty sella turcica preservation of the posterior lobe of the hypophysis. CONCLUSION--A patient with Sheehan's syndrome is reported in whom the LH and FSH pituitary secretion was preserved allowing normal pregnancy twice after the pituitary apoplexy.
Vieira
H B
HB
Disciplina de Endocrinologia--Unidade Hipotálamo-Hipófise, Hospital das Clínicas, Faculdade de Medicina, Universidade de São Paulo.
Knoepfelmacher
M
M
Salgado
L R
LR
Wajchenberg
B L
BL
Liberman
B
B
D000328:Adult; D005260:Female; D006801:Humans; D007018:Hypopituitarism / Q000503:physiopathology*; D010902:Pituitary Gland / Q000503:physiopathology*; D011247:Pregnancy; D011248:Pregnancy Complications / Q000503:physiopathology*
Preservação da função gonadotrófica e gravidez na síndrome de Sheehan: relato de um caso e revisão de literatura.