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Войти в исследования AACE endocrinology and diabetes · 2025
Gestational Pituitary Apoplexy With Persistent Hypogonadotropic Hypogonadism.
Клинический случайСтатьяНазвание и аннотация: Перевод в очереди
Обработка статьи · этапы, ошибки и управление
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Makhlouf Jana, Daoud Khatoun Wassim, Boustany Michel, Chebat Alissa, Ghanem Mohamad, Nemr Rita
Аннотация
BACKGROUND/OBJECTIVE: Pituitary apoplexy (PA) is a rare and life-threatening emergency that remains prone to misdiagnosis, especially in pregnancy. Few cases of gestational PA have been reported in the literature.
CASE REPORT: This study reports a case of a 26-year-old woman presenting at 35 weeks of gestation with PA.
DISCUSSION: Initial presentation included severe headache, blurry vision, and dizziness, and conservative medical management was opted. This included stress-dose hydrocortisone, cabergoline, and levothyroxine, followed by cesarean delivery at 36 weeks of gestation. The patient retrieved normal pituitary function, except for persistent amenorrhea 2 years after.
CONCLUSION: This is the first case of isolated persistent hypogonadotropic hypogonadism following PA in a pregnant patient and opens the discussion on the variety of potential complications of this condition.
CASE REPORT: This study reports a case of a 26-year-old woman presenting at 35 weeks of gestation with PA.
DISCUSSION: Initial presentation included severe headache, blurry vision, and dizziness, and conservative medical management was opted. This included stress-dose hydrocortisone, cabergoline, and levothyroxine, followed by cesarean delivery at 36 weeks of gestation. The patient retrieved normal pituitary function, except for persistent amenorrhea 2 years after.
CONCLUSION: This is the first case of isolated persistent hypogonadotropic hypogonadism following PA in a pregnant patient and opens the discussion on the variety of potential complications of this condition.