Sheehan s Syndrome with Edema in Optical Neural Sheaths: A Case Report

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Sheehan syndrome is partial or complete hypophyseal insufficiency due to hypophyseal necrosis secondary to postpartum hemorrhage and hypovolemia. Clinical findings are cessation of lactation, secondary amenorrhea, loss of libido and hypophyseal reserve loss. Treatment is hormone replacement. Forty-four years old women admitted with somnolence, malaise, edema and blurred vision. Physical examination revealed edema and hypotension. She had massive bleeding during her birth 11 years ago; therefore she had received blood transfusion and could not breast-feed then. She had amenorrhea when she was admitted. She was diagnosed with Sheehan syndrome when glucocorticoid and levothyroxine replacement therapy was started. Hypophyseal and orbital magnetic resonance imaging revealed empty sella and edema in bilateral optical neural sheaths, respectively. Empty sella may cause edema in optical neural sheaths by increasing pressure in subarachnoidal space. We present this case to point out this coincidence.

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Sheehan syndrome , optic nerve , empty sella , magnetic resonance imaging

Cukurova Medical Journal

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Cukurova Medical Journal