급성기 뇌하수체 졸중으로 나타난 요붕증 동반 쉬한증후군 1예
A case of Sheehan’s syndrome with central diabetes insipidus showing hemorrhagic pituitary apoplexy
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초록
출산시 과다 출혈 발생 후 요붕증이 주증상으로 발현되며 쉬한증후군이 나타나고 뇌자기공명영상에서 급성기 뇌하수체 출혈이 동반된 뇌하수체 졸중의 특징적 소견을 보인 증례를 보고하는 바이다.
Abstract
Ischemic necrosis of the pituitary gland, known as Sheehan’s syndrome, can develop after massive postpartum bleeding. This condition is rarely accompanied by diabetes insipidus. An empty sella is a constant feature of Sheehan’s syndrome in the later phase, but very few observations of magnetic resonance imaging (MRI) features in the acute phase are available. We report a case of Sheehan’s syndrome presenting with diabetes insipidus leading to severe hypernatremia, showing hemorrhagic postpartum pituitary apoplexy on acute MRI.
참고문헌 (18)
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