Sheehan syndrome: acute presentation with severe headache
| Autor: | Betsy Hale, Ashraf S. Habib |
|---|---|
| Rok vydání: | 2014 |
| Předmět: |
Adult
Pediatrics medicine.medical_specialty Nausea Pituitary Function Tests Hypopituitarism Diagnosis Differential Electrolytes Pregnancy medicine Humans reproductive and urinary physiology Vaginal delivery business.industry Cesarean Section Postpartum Hemorrhage Postpartum Period Headache Obstetrics and Gynecology medicine.disease Magnetic Resonance Imaging Sheehan Syndrome Anesthesiology and Pain Medicine Anesthesia Vomiting Female Differential diagnosis medicine.symptom Headaches business Postpartum period Placenta Retained |
| Zdroj: | International journal of obstetric anesthesia. 23(4) |
| ISSN: | 1532-3374 |
| Popis: | Postpartum headache is a common occurrence with a broad differential diagnosis. Sheehan syndrome, or postpartum pituitary necrosis, is not typically recognized as a cause of postpartum headache. We present a case of Sheehan syndrome that initially presented as severe headache after vaginal delivery complicated by retained placenta and postpartum hemorrhage. The patient was discharged home on postpartum day three but continued to have headaches and returned to hospital on postpartum day six with severe headache, failure to lactate, edema, dizziness, fatigue, nausea and vomiting. Cranial magnetic resonance imaging revealed pituitary infarction consistent with Sheehan syndrome. We discuss the differential diagnosis for postpartum headache, the pathophysiological features of Sheehan syndrome and headache as an atypical acute presentation. |
| Databáze: | OpenAIRE |
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