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Magnetic Resonance Imaging (MRI) of the Pituitary Gland in Sheehan’s Syndrome

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Abstract

Hypopituitarism designates absence of Pituitary Hormones Secretion. Patients with this Syndrome may lack one (isolated deficiency) or several hormones (Panhypopituitarism). In the post-puberal age, it usually presents as a long standing illness characterized by symptoms and signs of one or several hormone deficiencies. At the onset, most patients develop symptoms of prolactin deficiency (no lactation) followed by symptoms of Gonadotrophin failure (amenorrhea, loss of libido, impotence). Depending on the nature and extension of the pituitary lesion, patients may develop symptoms and signs of Hypothyroidism and eventually Adrenal Insufficiency appears.l

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References

  1. J.D. Wilson, D.W. Foster, Williams. Textbook of Endocrinology, W.B. Saunders Philadelphia (1985).

    Google Scholar 

  2. P.O. Kohler, Clinical Endocrinology, Wiley Medical, New York (1986).

    Google Scholar 

  3. G.T. Tindall, D.L. Barrow. Disorders of The Pituitary The C. V. Mosby Co. St. Louis (1986).

    Google Scholar 

  4. H.L. Sheehan Post-partum necrosis of the anterior pituitary. J. Pathol. Bacteriol. 45: 189–214 (1937).

    Article  CAS  Google Scholar 

  5. H.L. Sheehan, Z.P. Stanfield, The Pathogenesis of post-partum necrosis of the anterior lobe of the pituitary gland. Acta Endocrinol. 37: 479–510 (1961)

    CAS  Google Scholar 

  6. O. Engelberth, Z. Jezkova, Autoantibodies in Sheehan’s Syndrome. Lancet 1: 1075 (1065).

    Google Scholar 

  7. R.G. Ramsey, Neuroradiology, W.B. Saunders, Philadelphia (1987).

    Google Scholar 

  8. S.H. Lee, K.C.V.G. Rao. Cranial Computed Tomography and MRI McGraw Hill, New York (1987).

    Google Scholar 

  9. K.W. Pojunas, D.L. Daniels, A.L. Williams, V.M. Haughton, MR Imaging of Prolactin-secreting microadenomas. AJNR 7: 209–213 (1986).

    PubMed  CAS  Google Scholar 

  10. Kucharczyk, D.O. Davies, W.M. Kelly, G. Sze, D. Norman, T.H. Newton, Pituitary Adenomas: high-resolution MR imaging at 1.5 T Radiology 161: 761–765 (1986).

    PubMed  CAS  Google Scholar 

  11. B.C.P. Lee, M.D.F. Deck, Sellar and juxtasellar lesion detection with MR Radiology 157: 143–147 (1985).

    CAS  Google Scholar 

  12. R. Oot, P.F.J. New, F.S. Buonanno, IL. L. Pykett, P. Kistler, R. Delapaz, K.R. Davis, J.M. Taveras, T. J. Brady MR imaging of pituitary adenomas using a prototype resistive magnet: preliminary assessment. AJNR 5: 131–137 (1984).

    PubMed  CAS  Google Scholar 

  13. B. Kaufman, Magnetic Resonance Imaging of the Pituitary gland. Radiol. Clin. North Am. 22: 795–803 (1984).

    PubMed  CAS  Google Scholar 

  14. R.D. Saunders, H. Smith, Safety aspects of NMR Clinical Imaging. Br. Med. Bull 40: 148–154 (1984).

    PubMed  CAS  Google Scholar 

  15. S. Wolff, L.E. Crooks, P. Brown, R. Howard, R.B. Painter Tests for DNA and chromosomal damage induced by nuclear resonance imaging. Radiology 136: 707–710 (1980).

    PubMed  CAS  Google Scholar 

  16. C.K. Meador, J.L. Worrell. The sella turcica in post-partum pituitary necrosis (Shehan’s Syndrome) Ann Int. Med. 65: 250–264 (1966).

    Google Scholar 

  17. A.M. Fleckman, U.K. Schubart, A. Danziger, N. Fleischer, Empty Sella of Normal Size in Sheehan1s Syndrome Am. J. Medicine 75: 585–591 (1983).

    Article  CAS  Google Scholar 

  18. G. Dichiro, K.B. Nelson The Volume of the sella turcica. Am J. Roentgenol Radiol. Ther Nud Med. 87: 989–1098 (1962).

    CAS  Google Scholar 

  19. R.M. Bergland, B.S. Ray, R.M. Torack. Anatomical Variations in the pituitary gland and adjacent structures in 225 human autopsy cases. J. Neurosurg. 28: 93–99 (1968).

    Article  PubMed  CAS  Google Scholar 

  20. A.T. Rasmussen . Proportions of various subdivisions of normal adult human hypophysis cerebri and relative number of different types of cells in pars distalis, with biometric evaluations of age and sex differences and special consideration of basophilic invasion into infundibular process - Res. Nerv. Ment. Dis. Proc. 17; 118–150 (1938).

    Google Scholar 

  21. J.G. Gonzalez, G. Elizondo, D. Saldivar, H. Nanez, L. Todd, J.Z. Villarreal. Pituitary gland growth during normal pregnancy an in vivo-study using magnetic resonance imaging. Am. J. Med. (in press).

    Google Scholar 

  22. S.L. Asa, J.M. Bilbao, K. kovacs, R.G. Josse, K. Kreines. Lymphocytic hypophysitis of pregnancy resulting in hypopituitarism: a distinct clinicopathologic entity. Ann Int. Med. 95: 166–171 (1981).

    PubMed  CAS  Google Scholar 

  23. D.S. Baskin, J.J. Townsend, C.B. Wilson. Lymphocytic adenohypophy- sitis of pregnancy simulating a pituitary adenoma: a distinct pathological entity. J. Neurosurg 56: 1480153 (1982).

    Google Scholar 

  24. M. Shahmanesh, Z. Ali, M. Pourmand, I. Nourmand. Pituitary function tests in Sheehan’s Syndrome. Clin. Endocrinol. 12: 303–311 (1980).

    Article  CAS  Google Scholar 

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© 1988 Plenum Press, New York

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Villarreal, J.Z., Elizondo, G., Real, R., Gonzalez, J.G., Náñez, H. (1988). Magnetic Resonance Imaging (MRI) of the Pituitary Gland in Sheehan’s Syndrome. In: Cañedo, L.E., Todd, L.E., Packer, L., Jaz, J. (eds) Cell Function and Disease. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-0813-3_39

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  • DOI: https://doi.org/10.1007/978-1-4613-0813-3_39

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4612-8095-8

  • Online ISBN: 978-1-4613-0813-3

  • eBook Packages: Springer Book Archive

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