keyword
https://read.qxmd.com/read/37821844/hyponatremia-due-to-adrenal-insufficiency-after-a-mamushi-bite-a-case-report
#21
JOURNAL ARTICLE
Ryu Sugimoto, Tsuneaki Kenzaka, Hogara Nishisaki
BACKGROUND: Mamushi bites are the most common venomous snake bites in Japan, with known complications including rhabdomyolysis and acute kidney injury; however, adrenal insufficiency as a result of snake bites has not been previously reported. We report a case of empty sella with transient adrenal insufficiency during hospitalization for a Mamushi bite. CASE PRESENTATION: An 84-year-old man was admitted to our hospital with a Mamushi bite on the right fifth finger...
October 11, 2023: BMC Endocrine Disorders
https://read.qxmd.com/read/37809147/evaluation-of-clinical-characteristics-and-growth-hormone-response-in-a-rare-skeletal-dysplasia-pycnodysostosis
#22
JOURNAL ARTICLE
Yağmur Ünsal, Suleyman Atar
Introduction Pycnodysostosis is a rare osteosclerotic skeletal dysplasia; its clinical features include short stature, characteristic facial features, increased bone fragility, and acro-osteolysis of the distal phalanx. Lack of clear guidelines for treatment and follow-up in rare diseases such as pycnodysostosis with growth hormone (GH) deficiency poses a difficulty for the clinician. This study aims to identify clinical, radiological, and endocrine findings of patients with pycnodysostosis focusing on the first year of recombinant human growth hormone (rhGH) treatment response...
September 2023: Curēus
https://read.qxmd.com/read/37791188/retrospection-of-seldom-known-causes-and-presentations-of-partial-empty-sella-syndrome
#23
Kushagra Khanna, Rajika Khanna, Sunil Kumar
Pituitary gland shrinkage or flattening obscures it from view on an MRI, giving the impression that it is an empty sella. On the other hand, if some viable pituitary gland tissue is still seen on the MRI scan, a diagnosis of partial empty sella can be made. Diminished physiological and functional reserve in the elderly can result in a bad prognosis if not treated early. Therefore, there is a need to become familiar with fewer known causes and presentations of the empty sella or partial empty sella syndrome in older patients...
August 2023: Curēus
https://read.qxmd.com/read/37771680/severe-recurrent-hyponatremia-in-a-72-year-old-patient-with-undiagnosed-partially-empty-sella-syndrome-a-case-report
#24
Agnimshwor Dahal, Bhim Chauhan, Jeevan Gyawali, Astha Thapa, Prakash Dhungel, Saroj Yadav
Hyponatremia is one of the most common electrolyte abnormalities encountered in medical practice and is caused by multiple conditions. SIADH is the most common cause of hyponatremia, however, careful workup must be performed on all patients as mere supplementation may cause recurrent hyponatremia and serious side effects. Adrenal insufficiency is a principal culprit that mimics the clinical picture of SIADH and tends to worsen when treated in the line of SIADH. In addition, individuals may have various comorbidities, such as hypothyroidism in our case, which can also cause hyponatremia, making it difficult to determine precise etiology...
September 2023: Oxford Medical Case Reports
https://read.qxmd.com/read/37736451/severe-hyponatremia-in-a-46-year-old-female-with-pituitary-stalk-duplication-and-primary-empty-sella-syndrome
#25
Fatima Alkhyeli, Hessa Boharoon, Abdulla Almarzouqi
Pituitary duplication is a rare congenital malformation. It has been mainly reported in the pediatric and neonatal population, with few reported cases in the adult population. In this case report, we discuss the presentation of an adult female patient with pituitary stalk duplication and primary empty sella (PES). A 46-year-old South Asian female presented with severe euvolemic hyponatremia. Initial investigation showed low serum osmolality, high urine osmolality, high urinary sodium concentration, and normal chest X-ray...
August 2023: Curēus
https://read.qxmd.com/read/37727724/persistent-postoperative-hypotension-caused-by-subclinical-empty-sella-syndrome-after-a-simple-surgery-a-case-report
#26
Kang-Mei Zhao, Jia-Sheng Hu, Sheng-Mei Zhu, Ting-Ting Wen, Xiang-Ming Fang
BACKGROUND: Empty sella is an anatomical and radiological finding of the herniation of the subarachnoid space into the pituitary fossa leading to a flattened pituitary gland. Patients with empty sella may present with various symptoms, including headache due to intracranial hypertension and endocrine symptoms related to the specific pituitary hormones affected. Here, we report a female patient who developed persistent postoperative hypotension caused by subclinical empty sella syndrome after a simple surgery...
August 26, 2023: World Journal of Clinical Cases
https://read.qxmd.com/read/37705723/locally-advanced-endometrial-cancer-with-multiple-immune-related-adverse-events-coinciding-with-the-complete-response-to-radiotherapy-after-immune-checkpoint-inhibitor-therapy-a-case-report
#27
Yuji Tanaka, Tsukuru Amano, Akimasa Takahashi, Hiroki Nishimura, Hiroyuki Yamanaka, Yutaka Yoneoka, Shunichiro Tsuji, Takashi Murakami
We report a case of a 70-year-old female patient with locally advanced endometrial cancer with primary empty sella who developed multiple immune-related adverse events (irAEs), including hypopituitarism coinciding with the complete response to radiotherapy after receiving immune checkpoint inhibitors. A computed tomography scan acquired after a traffic accident led to the discovery of endometrial cancer that had invaded the vulva and primary empty sella. Following adriamycin and cisplatin, pembrolizumab was administered for three cycles...
October 2023: Gynecologic Oncology Reports
https://read.qxmd.com/read/37704550/unusual-and-lesser-known-rare-causes-of-adult-growth-hormone-deficiency
#28
REVIEW
Liza Das, Pinaki Dutta
Growth hormone is among the most common hormones to be deficient in pituitary insult. It can occur either in isolation or combined with other hormone deficiencies. Growth hormone deficiency in adults (AGHD) can be due to causes acquired in adulthood or have a childhood-onset etiology, but the former is about three times more common. Usual causes of AGHD include mass effects due to a pituitary tumour, and/or its treatment (surgery, medical therapy, or radiotherapy), or radiotherapy to the head and neck region for non-pituitary lesions...
August 28, 2023: Best Practice & Research. Clinical Endocrinology & Metabolism
https://read.qxmd.com/read/37586838/deep-phenotyping-of-the-neuroimaging-and-skeletal-features-in-kbg-syndrome-a-study-of-53-patients-and-review-of-the-literature
#29
JOURNAL ARTICLE
Francesca Peluso, Stefano G Caraffi, Gianluca Contrò, Lara Valeri, Manuela Napoli, Giorgia Carboni, Alka Seth, Roberta Zuntini, Emanuele Coccia, Guja Astrea, Anne-Marie Bisgaard, Ivan Ivanovski, Silvia Maitz, Elise Brischoux-Boucher, Melissa T Carter, Maria Lisa Dentici, Koenraad Devriendt, Melissa Bellini, Maria Cristina Digilio, Asif Doja, David A Dyment, Stense Farholt, Carlos R Ferreira, Lynne A Wolfe, William A Gahl, Maria Gnazzo, Himanshu Goel, Sabine Weller Grønborg, Trine Hammer, Lorenzo Iughetti, Tjitske Kleefstra, David A Koolen, Francesca Romana Lepri, Gabrielle Lemire, Pedro Louro, Gary McCullagh, Simona F Madeo, Annarita Milone, Roberta Milone, Jens Erik Klint Nielsen, Antonio Novelli, Charlotte W Ockeloen, Rosario Pascarella, Tommaso Pippucci, Ivana Ricca, Stephen P Robertson, Sarah Sawyer, Marie Falkenberg Smeland, Sander Stegmann, Constanze T Stumpel, Amy Goel, Juliet M Taylor, Domenico Barbuti, Annarosa Soresina, Maria Francesca Bedeschi, Roberta Battini, Anna Cavalli, Carlo Fusco, Maria Iascone, Lionel Van Maldergem, Sunita Venkateswaran, Orsetta Zuffardi, Samantha Vergano, Livia Garavelli, Allan Bayat
BACKGROUND: KBG syndrome is caused by haploinsufficiency of ANKRD11 and is characterised by macrodontia of upper central incisors, distinctive facial features, short stature, skeletal anomalies, developmental delay, brain malformations and seizures. The central nervous system (CNS) and skeletal features remain poorly defined. METHODS: CNS and/or skeletal imaging were collected from molecularly confirmed individuals with KBG syndrome through an international network...
August 16, 2023: Journal of Medical Genetics
https://read.qxmd.com/read/37523862/the-clinical-findings-to-notice-mild-elevation-of-intracranial-pressure-in-an-otology-clinic
#30
JOURNAL ARTICLE
Bulent Mamikoglu, Gerard J Gianoli
Mildly elevated intracranial pressure appears to be a distinct pathology separate from idiopathic increased intracranial pressure and migraine. Many patients present with head fullness-pressure and dizziness, which is often suggestive of a clinical diagnosis of vestibular migraine. These patients may additionally have episodic vertigo as seen in endolymphatic hydrops and positional vertigo in addition to feeling dizzy. In most cases, hearing is normal. A long duration of the condition or a presence of associated ear pathologies, i...
July 17, 2023: American Journal of Otolaryngology
https://read.qxmd.com/read/37507663/mri-features-of-idiopathic-intracranial-hypertension-are-not-prognostic-of-visual-and-headache-outcome
#31
JOURNAL ARTICLE
Gabriel Bsteh, Wolfgang Marik, Nik Krajnc, Stefan Macher, Christoph Mitsch, Philip Pruckner, Klaus Novak, Christian Wöber, Berthold Pemp
BACKGROUND: In idiopathic intracranial hypertension (IIH), certain MRI features are promising diagnostic markers, but whether these have prognostic value is currently unknown. METHODS: We included patients from the Vienna-Idiopathic-Intracranial-Hypertension (VIIH) database with IIH according to Friedman criteria and cranial MRI performed at diagnosis. Presence of empty sella (ES), perioptic subarachnoid space distension (POSD) with or without optic nerve tortuosity (ONT), posterior globe flattening (PGF) and transverse sinus stenosis (TSS) was assessed and multivariable regression models regarding visual outcome (persistent visual impairment/visual worsening) and headache outcome (headache improvement/freedom of headache) were fitted...
July 28, 2023: Journal of Headache and Pain
https://read.qxmd.com/read/37475659/impact-of-rater-experience-and-referral-question-on-detecting-mri-features-of-idiopathic-intracranial-hypertension
#32
JOURNAL ARTICLE
Gabriel Bsteh, Wolfgang Marik, Stefan Macher, Victor Schmidbauer, Nik Krajnc, Philip Pruckner, Christoph Mitsch, Klaus Novak, Christian Wöber, Berthold Pemp
BACKGROUND: In idiopathic intracranial hypertension (IIH), MRI features are promising diagnostic markers, but impact of rater experience and specific referral question is unknown. METHODS: From Vienna-Idiopathic-Intracranial-Hypertension (VIIH) database, we included patients with definitive IIH and routine cranial MRI performed during diagnostic work-up. Frequencies of partial empty sella (ES), optic nerve sheath distension (ONSD), optic nerve tortuosity (ONT), posterior globe flattening (PGF) and transverse sinus stenosis (TSS) was compared in three settings: 1) real-world rating, 2) junior neuroradiologist without special IIH training, and 3) senior neuroradiologist with experience in IIH imaging (gold standard)...
July 21, 2023: European Journal of Neurology
https://read.qxmd.com/read/37425515/cushing-s-disease-associated-with-partially-empty-sella-turcica-syndrome-a-case-report
#33
Tehmina Habib, Mohammad Abu-Abaa, Navid Redjal
The association between empty sella turcica (EST) syndrome and Cushing's disease has been rarely reported. It is plausible to hypothesize that EST syndrome in association with Cushing's disease can be attributed to intracranial hypertension. In this case report, we present a 47-year-old male patient who presented with weight loss, fatigue, easy bruising, acanthosis nigricans, and skin creases hyperpigmentation. Investigations revealed hypokalemia and confirmed the diagnosis of Cushing's disease. Magnetic resonance imaging (MRI) brain showed a partial EST syndrome and a new pituitary nodule as compared with previous brain imaging...
June 2023: Curēus
https://read.qxmd.com/read/37404491/cerebrospinal-fluid-rhinorrhea-with-meningoencephalocele-related-to-sternberg-s-canal-a-report-of-two-cases
#34
Satoshi Adachi, Hideaki Ueno, Shunsuke Magami, Naohide Fujita, Shintaro Nakajima, Ryogo Ikemura, Yasuhito Ueki, Yuki Takaki, Keisuke Murofushi, Yasuaki Nakao, Takuji Yamamoto
BACKGROUND: Cerebrospinal fluid (CSF) rhinorrhea with meningoencephalocele (MEC) associated with Sternberg's canal is rare. We treated two such cases. CASE DESCRIPTION: A 41-year-old man and a 35-year-old woman presented with CSF rhinorrhea and mild headache worsening with standing posture. Head computed tomography showed a defect close to the foramen rotundum in the lateral wall of the left sphenoid sinus in both cases. Head magnetic resonance (MR) imaging and MR cisternography revealed that brain parenchyma had herniated into the lateral sphenoid sinus through the defect of the middle cranial fossa...
2023: Surgical Neurology International
https://read.qxmd.com/read/37388528/ectopic-pituitary-neuroendocrine-tumor-arising-in-the-sphenoid-sinus-with-an-avid-18f-fluorodeoxyglucose-uptake-masquerading-as-malignancy-a-case-report
#35
Yukiko Usui, Ryo Kurokawa, Takahiro Fukushima, Richi Fujita, Reina Hosoi, Emi Miyawaki, Michio Hayashi, Sadahiro Kishisita, Mariko Kurokawa, Osamu Abe, Haruyasu Yamada
Ectopic pituitary neuroendocrine tumors (PitNETs) are uncommon conditions that develop outside of the sella turcica. The sphenoid sinus is the most common site for ectopic PitNET, followed by the suprasellar region, clivus, and cavernous sinus. PitNETs, regardless of whether inside or outside sella, may display avid 18F-fluorodeoxyglucose (FDG) uptake and masquerade as malignant tumors. Herein, we report a case of ectopic PitNET arising in the sphenoid sinus, which was found as an FDG-avid mass during cancer screening...
September 2023: Radiology Case Reports
https://read.qxmd.com/read/37364207/venous-overload-choroidopathy-associated-with-idiopathic-intracranial-hypertension
#36
JOURNAL ARTICLE
Vipin Rana, Vishali Gupta, Richard F Spaide, Jaspreet Sukhija, Simar R Singh, Rupesh Agrawal, Aastha Takkar, Vivek Lal
PURPOSE: To report a case of venous overload choroidopathy associated with idiopathic intracranial hypertension in a 41-year-old man. METHODS: History and clinical examination, fluorescein angiography, ultra-widefield indocyanine green angiography, swept-source optical coherence tomography, and contrast-enhanced magnetic resonance imaging. RESULTS: The patient was diagnosed as having idiopathic intracranial hypertension 2 years ago, was being managed on oral acetazolamide, and retained 20/20 visual acuity in both eyes until now when he presented with a complaint of visual loss in the right eye...
July 1, 2023: Retinal Cases & Brief Reports
https://read.qxmd.com/read/37305875/a-clinical-case-of-identical-twins-with-hypogonadotropic-hypogonadism-primary-empty-sella-syndrome-and-identified-rare-chd7-gene-variant
#37
Sava Petrov, Ekaterina Babadzhanova, Maria Orbetzova, Hristo Ivanov
KEY CLINICAL MESSAGE: Empty sella syndrome is a complex syndrome with a diverse clinical presentation. The combination with functional hypogonadotropic hypogonadism is a real challenge for the clinician. Mutations in the CHD7 gene could be a possible, yet unproven, cause of "empty sella" syndrome. Patients with hypogonadotropic hypogonadism should be examined for possible CHD7 mutations, even if they do not have any CHARGE syndrome characteristics. ABSTRACT: Empty sella is an anatomo-radiological finding characterized by arachnoid herniation into the sellar fossa with reduction of pituitary volume and/or pituitary stalk compression)...
June 2023: Clinical Case Reports
https://read.qxmd.com/read/37290372/transverse-sinus-pathologies-vestibular-migraine-and-intracranial-hypertension-without-papilledema
#38
JOURNAL ARTICLE
Bulent Mamikoglu, Oktay Algın, Güven Mengü, Fadime Erdoğan-Küçükdağlı, Alex Kessler
BACKGROUND: In the absence of papilledema, the presentation of migraine and idiopathic intracranial hypertension (IIH) is very similar. In this respect, an IIH could be presented as a vestibular migraine. Our main objective in this case report is to demonstrate the similarities between IIH and vestibular migraine. CASES: This is a report of 14 patients who have IIH without papilledema presented as vestibular migraine to the clinic and followed from 2020 to 2022...
2023: American Journal of Otolaryngology
https://read.qxmd.com/read/37274580/a-rare-case-of-partially-empty-sella-with-epileptiform-discharges-presenting-with-first-episode-of-mania
#39
JOURNAL ARTICLE
Ankit Halder, Navna P Ravindran, Sarthak M Keshri, Gurudas Harshe
No abstract text is available yet for this article.
2023: Industrial Psychiatry Journal
https://read.qxmd.com/read/37252555/adrenal-insufficiency-associated-with-empty-sella-syndrome-and-steroid-malabsorption-complicated-with-septic-shock-due-to-post-transplant-pyelonephritis-a-case-report
#40
Hisato Shima, Keiko Miya, Kazuyoshi Okada, Toshio Doi, Jun Minakuchi
Renal transplant recipients are immunocompromised and predisposed to develop hyponatremia because they are exposed to immunological, infectious, pharmacological, and oncologic disorders. A 61-year-old female renal transplant recipient was admitted with diarrhea, anorexia, and headache for about a week during the tapering of oral methylprednisolone for chronic renal allograft rejection. She also presented hyponatremia and was suspected to have secondary adrenal insufficiency based on a low plasma cortisol level of 1...
April 2023: Curēus
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