- Title
- A rare case of pituitary infarction leading to spontaneous tumour resolution and CSF-sella syndrome in an 11-year-old girl and a review of the paediatric literature
- Creator
- Maltby, Vicki E.; Crock, Patricia A.; Lüedecke, Dieter K.
- Relation
- Journal of Pediatric Endocrinology & Metabolism Vol. 27, Issue 9-10, p. 939-946
- Publisher Link
- http://dx.doi.org/10.1515/jpem-2014-0143
- Publisher
- Walter de Gruyter GmbH
- Resource Type
- journal article
- Date
- 2014
- Description
- Pituitary infarction or apoplexy with spontaneous cure of the underlying pituitary adenoma is rare. In the paediatric population, we found only a few reported cases. We report a rare case of pituitary infarction progressing to CSF-sella syndrome (or empty sella) in an 11-year-old girl. She presented with sudden onset vomiting, moderate headaches, lethargy, weight loss, and tall stature above her mid-parental height. She did not have any severe symptoms of apoplexy. Her clinical and radiological findings suggested infarction of a pituitary lesion, such as a pituitary adenoma or infarction of a cystic lesion, such as a Rathke’s cleft cyst. In this report, we discuss her case of probable infarction of a growth hormone secreting adenoma with a phase of accelerated growth ending up with total anterior pituitary insufficiency. The differential diagnosis and review of the rare cases of paediatric pituitary infarction in the literature will be discussed.
- Subject
- apoplexy; CSF-sella syndrome; gigantism; lymphocytic hypophysitis; pituitary; pituitary infarction
- Identifier
- http://hdl.handle.net/1959.13/1302797
- Identifier
- uon:20547
- Identifier
- ISSN:0334-018X
- Language
- eng
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