Harlequin syndrome post-transsphenoidal pituitary macroadenoma surgery.
A 45-year-old woman, with a history of asymmetric facial flushing, was presented to the Endocrinology Unit after pituitary macroadenoma removal. After other pathological entities had been ruled out, she was diagnosed with harlequin syndrome following a lesion of the postganglionic sympathetic fibers during transsphenoidal pituitary macroadenoma surgery. We herein report the first case of harlequin syndrome following transsphenoidal pituitary surgery. We describe this difficult and benign diagnosis along with its characteristic imaging.
Servicio de Endocrinología y Nutrición, Hospital Clínico Universitario, Valladolid, Centro de Investigación de Endocrinología y Nutrición Clίnica, Facultad de Medicina, Valladolid, Spain. diazsotogonzalo@gmail.com
Gonzalo
G
Díaz-Soto
Maria J
MJ
Vaquerizo
Ciro
C
Garcίa-Álvarez
Aurelia
A
Villar-Bonet
D001342:Autonomic Nervous System Diseases / Q000175:diagnosis*; D005260:Female; D005483:Flushing / Q000175:diagnosis* / Q000473:pathology; D006801:Humans; D007007:Hypohidrosis / Q000175:diagnosis*; D008875:Middle Aged; D010911:Pituitary Neoplasms / Q000601:surgery*; D011183:Postoperative Complications / Q000175:diagnosis*; D013546:Sweating / Q000502:physiology