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Title: | Hypopituitarism due to Hydrocephalus: Case Report and Review of the Literature |
Authors: | PINTO, Fernando Campos Gomes; CUNHA NETO, Malebranche Berardo Carneiro da; ROCHA, Manuela Giuliani Marcondes; LAGO, Daniel Vicaria do; BRONSTEIN, Marcello Delano; TEIXEIRA, Manoel Jacobsen |
Citation: | PEDIATRIC NEUROSURGERY, v.47, n.4, p.303-306, 2011 |
Abstract: | Introduction: Although rare, chronic hydrocephalus may cause amenorrhea and delayed puberty associated with obesity as the main endocrine manifestations. Since the first operation carried out in 1950 on a patient with amenorrhea and hydrocephalus, fewer than 30 patients with these features have been reported. Case Report: Our patient represents a teenage case of primary amenorrhea, partial adrenal insufficiency and adult growth hormone deficiency caused by hydrocephalus due to aqueductal stenosis. Our English-language literature search for similar well-documented cases yielded less than 30 cases. Our management consisted of endoscopic third ventriculostomy, which resulted in regular menstrual cycles and normalization of somato- and adrenocorticotropic axes. Discussion: This is a rare case of a 20-yearold woman with primary amenorrhea caused by hydrocephalus due to aqueductal stenosis. Neurosurgical treatment produced relief in hypothalamic hydrodynamics tension, allowing recovery of hormonal function and restoring normal menstrual cycles. |
Appears in Collections: | Artigos e Materiais de Revistas Científicas - FM/MNE Artigos e Materiais de Revistas Científicas - HC/ICHC Artigos e Materiais de Revistas Científicas - HC/IPq Artigos e Materiais de Revistas Científicas - LIM/25 Artigos e Materiais de Revistas Científicas - LIM/26 |
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