Neurological Sciences

, Volume 40, Issue 4, pp 875–877 | Cite as

Sheehan syndrome mimicking dementia with Lewy bodies

  • Sang-Won Yoo
  • Sung-Jin Park
  • Joong-Seok KimEmail author
Letter to the Editor

Dear Editor,

Sheehan syndrome refers to postpartum hypopituitarism caused by ischemic necrosis due to blood loss and hypovolemia during and after delivery [1]. The signs and symptoms of panhypopituitarism are diverse due to the involvement of various hormonal insufficiencies [1]. The most common hormones lost are growth hormone (GH), followed by gonadotropins, adrenocorticotropic hormone, and thyroid-stimulating hormone.

While secondary parkinsonism and neurobehavioral symptoms are well-recognized conditions associated with hormonal dysfunction, especially thyroid and adrenal gland dysfunction [2, 3]; clinical presentation as dementia with Lewy bodies (DLB) associated with Sheehan syndrome has not been reported.

We describe a patient with Sheehan syndrome who complained of vivid, recurrent hallucinations, fluctuating cognition, slurred speech, and bradykinesia.

A 62-year-old woman was admitted with vivid hallucinations, fluctuating cognition and alertness, slurred speech, and...



This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Science, ICT, and Future Planning (NRF-2017R1D1A1B06028086).

Compliance with ethical standards

Ethics statement

The institutional review board at St. Mary’s Hospital approved this case report.

Conflict of interest

The authors declare that they have no conflicts of interest.

Patient consent

The patient has consented to the submission of the case report to the journal.


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Copyright information

© Springer-Verlag Italia S.r.l., part of Springer Nature 2018

Authors and Affiliations

  1. 1.Department of Neurology, College of MedicineThe Catholic University of Korea, Seoul St. Mary’s HospitalSeoulRepublic of Korea

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