Sheehan’s syndrome of a 50 years old female with bipolar  disorder: a case report

Ankit Anand; Rajveer Singh; Abhishek Kumar Gupta; Ajay Kumar; Hritika; Priyanka Kumari; Shiwani Shukla; Yuvika Kataria

doi:10.18203/issn.2454-2156.IntJSciRep20240981

Authors

Ankit Anand Department of Medicine, JNUIMSRC, Jaipur, Rajasthan, India
Rajveer Singh School of Pharmaceutical Sciences, Jaipur National University Jaipur, Rajasthan, India
Abhishek Kumar Gupta School of Pharmaceutical Sciences, Jaipur National University Jaipur, Rajasthan, India
Ajay Kumar School of Pharmaceutical Sciences, Jaipur National University Jaipur, Rajasthan, India
Hritika School of Pharmaceutical Sciences, Jaipur National University Jaipur, Rajasthan, India
Priyanka Kumari School of Pharmaceutical Sciences, Jaipur National University Jaipur, Rajasthan, India
Shiwani Shukla School of Pharmaceutical Sciences, Jaipur National University Jaipur, Rajasthan, India
Yuvika Kataria Department of Medicine, JNUIMSRC, Jaipur, Rajasthan, India

DOI:

https://doi.org/10.18203/issn.2454-2156.IntJSciRep20240981

Keywords:

CSF, ESS, Cortisol, Secondary ESS, Isolated adrenocorticotropic hormone

Abstract

Empty Sella syndrome (ESS) pertains to a phenomenon in which the Turkish sale seems through radiography to be larger and perhaps partially or entirely filled with brain fluids. It can be major illness/ develop as a result of pituitary medical procedures, radiation therapy cerebral infarction/bleeding process. A 50 years old female patient was admitted in emergency medicine ward with chief complaint of pain in abdomen, weakness and vomiting. MRI scan of pituitary cerebrospinal fluid (CSF) signal intensity is seen in Sella with no visible anterior pituitary gland tissue noted-likely suggestive of secondary empty Sella (SES). Long-term steroid use is principal therapy for adrenocorticotropic hormone deficiency (IAD). In this instance, ESS, which can be primary/secondary, also noticed.

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