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Revision as of 22:39, 21 August 2017

Sheehan's syndrome Microchapters

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Iqra Qamar M.D.[2]


Overview

Findings on MRI suggestive  of Sheehan's syndrome include decreased sellar volume, empty sella, pituitary remnant tissue or CSF fluid in sella.

MRI

  • MRI shows an empty sella, in chronic cases of Sheehan's syndrome.[1][2][3]
  • It can also show decreased sellar volume, pituitary remnant tissue or CSF fluid in sella.
  • It is done to exclude any pituitary mass.

MRI

  • Early
    • Enlarged pituitary, with low T1, high T2 homogenous signal
    • Ring enhancement
  • Late
    • Empty sella of normal size.[4]
Case courtesy of Dr Roberto Schubert. Source:Radiopedia [5]


References

  1. Barkan AL (1989). "Pituitary atrophy in patients with Sheehan's syndrome". Am. J. Med. Sci. 298 (1): 38–40. PMID 2750772.
  2. Sherif IH, Vanderley CM, Beshyah S, Bosairi S (1989). "Sella size and contents in Sheehan's syndrome". Clin. Endocrinol. (Oxf). 30 (6): 613–8. PMID 2591059.
  3. Bakiri F, Bendib SE, Maoui R, Bendib A, Benmiloud M (1991). "The sella turcica in Sheehan's syndrome: computerized tomographic study in 54 patients". J. Endocrinol. Invest. 14 (3): 193–6. doi:10.1007/BF03346787. PMID 1906495.
  4. Kaplun J, Fratila C, Ferenczi A, Yang WC, Lantos G, Fleckman AM, Schubart UK (2008). "Sequential pituitary MR imaging in Sheehan syndrome: report of 2 cases". AJNR Am J Neuroradiol. 29 (5): 941–3. doi:10.3174/ajnr.A1016. PMID 18296547.
  5. Radiopaedia.org From the case <a href="https://radiopaedia.org/cases/17556">rID: 17556

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