Sella turcica size in women with sheehan syndrome—A case–control study

Autor: Bashir Ahmad Laway, Atul Sharma, Naseer Ahmad Choh, Feroze Shaheen, Arshad Iqbal Wani
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: Indian Journal of Endocrinology and Metabolism, Vol 27, Iss 5, Pp 431-435 (2023)
Druh dokumentu: article
ISSN: 2230-8210
DOI: 10.4103/ijem.ijem_316_22
Popis: Introduction: Sheehan syndrome is a common cause of hypopituitarism in developing countries. Among risk factors, in addition to post-partum haemorrhage, a smaller sellar volume is also believed to predispose to pituitary necrosis. Some earlier studies have reported smaller sellar volume in these patients but involved a small number of patients and lacked matched controls. The main of the present study was to study the sellar volume in a large cohort of patients with Sheehan syndrome and compare it with age- and parity-matched controls. Methods: Fifty women with Sheehan syndrome and an equal number of age- and parity-matched controls were studied. Baseline investigations, relevant hormonal assay, and MRI of pituitary were studied in all. Results: Sellar volume was significantly lower in patients with Sheehan syndrome (334.50 ± 129.08 mm3 in patients as against 456.64 ± 169.25 mm3 in controls, P = 0.000). Far more women with Sheehan syndrome than controls had decreased sellar volume (40% vs. 12%). Conclusions: Patients with Sheehan syndrome have a smaller sellar volume that may be a non-modifiable risk factor for the development of post-partum pituitary necrosis.
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