Sheehan's syndrome MRI

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief:


Overview

There are no MRI findings associated with [disease name].

OR

[Location] MRI may be helpful in the diagnosis of [disease name]. Findings on MRI suggestive of/diagnostic of [disease name] include [finding 1], [finding 2], and [finding 3].

OR

There are no MRI findings associated with [disease name]. However, a MRI may be helpful in the diagnosis of complications of [disease name], which include [complication 1], [complication 2], and [complication 3].

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
Case courtesy of Dr Roberto Schubert. Source:Radiopedia [4]


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. Radiopaedia.org From the case <a href="https://radiopaedia.org/cases/17556">rID: 17556

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