Hypothalamic hypopituitarism in a patient with a basal encephalocoele—treatment with luteinizing hormone-releasing hormone

Autor: J. Adams, W. P. Mason, J. Tanner, Howard S. Jacobs, N. Wilson-Holt, D. V. Morris, M. Keene
Rok vydání: 1984
Předmět:
Zdroj: Postgraduate Medical Journal. 60:597-604
ISSN: 1469-0756
0032-5473
DOI: 10.1136/pgmj.60.707.597
Popis: Summary A 20-year-old patient presented with primary amenorrhoea and growth hormone deficiency caused by a basal encephalocoele. She was found to have developed diabetes insipidus in the 8 years following diagnosis. Gonadotrophin release in response to bolus injection of luteinizing hormone-releasing hormone (LHRH) was normal, as was thyrotrophin and adrenocorticotrophin (ACTH) secretion. Pulsatile administration of LHRH by the subcutaneous route resulted in normal ovulation and subsequent menstruation. The investigation and management of patients with basal encephalocoeles are discussed in the light of these findings.
Databáze: OpenAIRE