title: [An unusual leading symptom].
abstract: We report the case of a 81-year-old male with a long standing history of progressive dyspnea and depression. In spite of extensive cardiological, pneumological and neurological investigations the reason for his complaints remained unclear. Known for a parasellar meningioma MRI scans were repeated, but were shown to be stable. Finally endocrine investigations revealed the presence of a panhypopituitarism explaining the unusual clinical picture.
authors.affiliation: Berner Klinik Montana, Zentrum für medizinische und neurologische Rehabilitation, Crans-Montana.
authors.forename: Claudia
authors.initials: C
authors.lastname: von Felten
authors.affiliation: Berner Klinik Montana, Zentrum für medizinische und neurologische Rehabilitation, Crans-Montana.
authors.forename: Stephan
authors.initials: S
authors.lastname: Eberhard
mesh_terms: D000369:Aged, 80 and over; D001921:Brain / Q000473:pathology; D003866:Depressive Disorder / Q000209:etiology*; D003937:Diagnosis, Differential; D004417:Dyspnea / Q000209:etiology*; D005260:Female; D006801:Humans; D007018:Hypopituitarism / Q000175:diagnosis*; D008279:Magnetic Resonance Imaging; D008577:Meningeal Neoplasms / Q000175:diagnosis*; D008579:Meningioma / Q000175:diagnosis*; D010902:Pituitary Gland / Q000473:pathology
keywords: Dyspnoe; Panhypopituitarismus; dyspnea; panhypopituitarism; parasellar meningioma; paraselläres Meningeom