title: Antepartum pituitary necrosis occurring in pregnancy with uncontrolled gestational diabetes mellitus: a case report.
abstract: Antepartum pituitary necrosis is a rare medical condition that has only been reported in pregnant women with type I diabetes attributable to diabetes-related vasculopathy and hypercoagulability. We present for the first time a case of antepartum pituitary necrosis occurring in an uncontrolled gestational diabetes mellitus (GDM) patient. The patient was a 32-yr-old woman at 33 weeks and 2 days of gestation. She suffered from severe headache, blurred vision, dizziness, and vomiting. Her baby was delivered by Cesarean section. The brain magnetic resonance images revealed pituitary necrosis. This suggests that pituitary gland necrosis may also complicate GDM pregnancy when glucose levels are uncontrolled.
authors.affiliation: Division of Maternal-Fetal Medicine, Department of Obstetrics and Gynecology, Yonsei University College of Medicine, Yonsei University Health System, Seoul, Korea.
authors.forename: Hyun Jong
authors.initials: HJ
authors.lastname: Park
authors.forename: Jinna
authors.initials: J
authors.lastname: Kim
authors.forename: Yumi
authors.initials: Y
authors.lastname: Rhee
authors.forename: Yong Won
authors.initials: YW
authors.lastname: Park
authors.forename: Ja-Young
authors.initials: JY
authors.lastname: Kwon
mesh_terms: D000328:Adult; D016640:Diabetes, Gestational / Q000175:diagnosis*; D005260:Female; D006801:Humans; D009336:Necrosis / Q000150:complications / Q000473:pathology; D010902:Pituitary Gland / Q000473:pathology*; D011247:Pregnancy