Review of Clinical and Radiological Imaging Findings in A Case With Acute Sheeahan’s Syndrome Abstract

Yıl 2020, Cilt: 4 Sayı: 3, 186 - 191, 31.12.2020

Aykut Altınok , Banu Alıcıoğlu , Sakin Tekin , Emrah Çağlar

Öz

Akut Sheehan Sendromlu Bir Olguda Klinik ve Radyolojik Görüntüleme Bulgularının İrdelenmesi

Öz

Postpartum hipofizer nekroz ya da Sheehan sendromu (SS), postpartum maternal bakım koşullarındaki yetersizliklere bağlı olarak hipofizer yetersizliğin en sık nedeni olarak görülmektedir. En önemli nedeni doğum sırasında veya doğumdan sonraki masif kanamalardır. Bu yazıda sezaryenle doğum sonrası kanaması olan 35 yaşında hiponatremi ile başvuran ve akut SS tanısı alan olgunun klinik ve radyolojik görüntüleme bulguları sunulmuş ve tartışılmıştır.

Anahtar Kelimeler

Sheehan sendromu, postpartum hipopituitarizm, postpartum kanama

Kaynakça

• 1. Shivaprasad, C. Sheehan's syndrome: Newer advances. Indian journal of endocrinology and metabolism. 2011;15.3:S203.
• 2. Goldman L, Ausiello D. Anterior pituitary. Ünal S, editör. Cecil Textbook of Medicine Türkçe. 23. Baskı. Ankara: Güneş Tıp Kitabevleri. 2011;S:1674-91.
• 3. Karadag, B.,ve al. Twocases of panhypopituitarism presenting with severe hyponatremia. Turkish Journal of Geriatrics. 2005;8.1:34-5.
• 4. Karaca Z., Hacioglu A., Kelestimur F. Neuroendocrine changes after aneurysmal subarachnoid hemorrhage. Pituitary. 2019;22(3):305-321.
• 5. Düğeroglu, Harun. Sheehan sendromu. Klinik Tıp Aile Hekimliği. 2018;10.3:31-32.
• 6. Karaca Z, Laway BA, Dokmetas HS, Atmaca H, Kelestimur F. Sheehan syndrome. Nat Rev Dis Primers. 2016;22:2:16092.
• 7. ABS, Roger, et al. GH replacement in 1034 growth hormone deficient hypopituitary adults: demographic and clinical characteristics, do sing and safety. Clinical Endocrinology. 1999;50.6:703-713.
• 8. Woodmansee WW. Pituitary Disorders in Pregnancy. Neurologic clinics. 2019;37(1):63-83.
• 9. Tıkır B, Göka E, Aydemir MÇ, Gürkan Ş. [Psychotic Disorderand Sheehan's syndrome: Etiology or Comorbidity?: A Case Report. Turk Psikiyatri Derg. 2015;26(2):142-5.
• 10. Schrager S, Sabo L. Sheehan syndrome: A rare complication of postpartum hemorrhage. Madison J Am Board Fam Med 2001;14(5):390.
• 11. Yatagai T, Kusaka I, Nakamura T, et al. Close associati- on of severe hyponatremia with exaggerated release of arginine vasopressin in elderly subjects with secondary adrenal insufficiency. European Journal of Endocrinology 2003;148(2):221-6.
• 12. Drummond JB, Ribeiro-Oliveira A, Soares BS. Non-Functioning Pituitary Adenomas. In: Feingold KR, Anawalt B, Boyce A, Chrousos G, Dungan K, Grossman A, Hershman JM, Kaltsas G, Koch C, Kopp P, Korbonits M, McLachlan R, Morley JE, New M, Perreault L, Purnell J, Rebar R, Singer F, Trence DL, Vinik A, Wilson DP, editors. Endotext [Internet]. MDText.com, Inc.; South Dartmouth (MA): Nov 28, 2018.
• 13. Bayraktaroglu T, Colak N, Nalcaci M, Yenerel MN. Sheehan's syndrome associated with Glanzmann's Thrombasthenia: case report and literature review. Exp Clin Endocrinol Diabetes. 2008;116(9):549-553.
• 14. Olıveıra, Miriam C., et al. Acquired factor VIII and von Willebrand factor (aFVIII/VWF) deficiency and hypothyroidism in a case with hypopituitarism. Clinical and Applied Thrombosis/Hemostasis, 2010;16.1:107-109.
• 15. LAWAY, Bashir Ahmad, et al. Prevalence of hematological abnormalities in patients with Sheehan’s syndrome: response to replacement of glucocorticoids and thyroxine. Pituitary, 2011;14.1:39-43.
• 16. Chiloiro S, Tartaglione T, Angelini F, Bianchi A, Arena V, Giampietro A, Mormando M, Sciandra M, Laino ME, De Marinis L. An Overview of Diagnosis of Primary Auto immune Hypophysitis in a Prospective Single-Center Experience. Neuroendocrinology. 2017;104(3):280-290.
• 17. Maccagnan, Paulo, et al. Abnormal circadian rhythm and increasednon‐pulsatile secretion of thyrotrophin in Sheehan's syndrome. Clinical endocrinology. 1999;51.4:439-447.
• 18. Abs R, Bengtsson BA, Hernberg-Stâhl E, Monson JP, Tauber JP, Wilton P, et al. GH replacement in 1034 growth hormone deficient hypopituitary adults: demographic and clinical characteristics, dosing and safety. Clin Endocrinol (Oxf) 1999;50(6):703-13.
• 19. Kanekar S, Bennett S. Imaging of Neurologic Conditions in Pregnant Patients. Radiographics. 2016;36(7):2102-2122.
• 20. Miljic D, Pekic S, Popovic V. EmptySella. In: Feingold KR, Anawalt B, Boyce A, Chrousos G, Dungan K, Grossman A, Hershman JM, Kaltsas G, Koch C, Kopp P, Korbonits M, McLachlan R, Morley JE, New M, Perreault L, Purnell J, Rebar R, Singer F, Trence DL, Vinik A, Wilson DP, editors. Endotext [Internet]. MDText.com, Inc.; South Dartmouth (MA): Oct 1, 2018.
• 21. Chong, B. W.; Newton, T. H. Hypothalamic and pituitary pathology. Radiologic Clinics of North America, 1993;31.5:1147-1153.
• 22. Sherif IH, Vanderley CM, Beshyah S, Bosairi S. Sella size andcontents in Sheehan’s syndrome. Clin Endocrinol (Oxf) 1989;30:613-618.
• 23. Bakiri F, Bendib SE, Maoui R, Bendib A, Benmiloud M. Thesellaturcica in Sheehan’s syndrome: computerized tomographic study in 54 patients. J Endocrinol Invest 1991;14:193-196.
• 24. Karaca Z, Tanriverdi F, Unlu hizarci K, Kelestimur F, Donmez H. [Empty sella may be the final outcome in lymphocytic hypophysitis]. EndocrRes 2009;34(1-2):10-7.
• 25. Fleseriu, M. et al. Hormonal replacement in hypopituitarism in adults: an Endocrine Society clinical practice guideline. J. Clin. Endocrinol. Metab. 2016;101:3888–3921.
• 26. Keleştimur F, Auernhammer C, Çolak R, et al. The baseline characteristics and the effects of GH replacement therapy in patients with Sheehan’s syndrome as compared to nonfunctioning pituitary adenoma. The Endocrine Society’s 85th Annual Meeting Philadelphia, USA 2003;19-22.