Nontraumatic ethmoid cerebrospinal fluid rhinorrhea complicating Sheehan syndrome
Treatment of pituitary macroadenoma frequently leads to nontraumatic cerebrospinal fistula and rhinorrhea. We report an unusual case of rhinorrhea in a woman with Sheehan's syndrome. A 39-year-old woman receiving hormone replacement therapy for hypothyroidism diagnosed 13 years earlier (Sheehan...
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Veröffentlicht in: | La Presse médicale (1983) 2005-07, Vol.34 (13), p.935-937 |
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container_title | La Presse médicale (1983) |
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creator | Ach, K Dallel, Y-N Bellara, I Trimech, A-S Maaroufi, B-A Chaieb, C-M Chaieb, L |
description | Treatment of pituitary macroadenoma frequently leads to nontraumatic cerebrospinal fistula and rhinorrhea. We report an unusual case of rhinorrhea in a woman with Sheehan's syndrome.
A 39-year-old woman receiving hormone replacement therapy for hypothyroidism diagnosed 13 years earlier (Sheehan's syndrome) developed metabolic syndrome, which combining obesity, type 2 diabetes, hypertension and mixed hyperlipidemia. Cerebrospinal fluid rhinorrhea was confirmed by measurement of the glucose concentration in her nasal discharge and by cerebral MRI, which revealed a fistula of the ethmoid bone and an empty sella. Etiological screening was negative, and normal bone densitometry as well as the absence of trauma ruled out any bone defects. Conversely, the metabolic syndrome, notably obesity, suggested a nontraumatic mechanism for the empty sella.
Onset of empty sella syndrome during treatment for Sheehan's syndrome may be the cause of the CSF rhinorrhea. The role of obesity requires further investigation. |
doi_str_mv | 10.1016/S0755-4982(05)84084-9 |
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A 39-year-old woman receiving hormone replacement therapy for hypothyroidism diagnosed 13 years earlier (Sheehan's syndrome) developed metabolic syndrome, which combining obesity, type 2 diabetes, hypertension and mixed hyperlipidemia. Cerebrospinal fluid rhinorrhea was confirmed by measurement of the glucose concentration in her nasal discharge and by cerebral MRI, which revealed a fistula of the ethmoid bone and an empty sella. Etiological screening was negative, and normal bone densitometry as well as the absence of trauma ruled out any bone defects. Conversely, the metabolic syndrome, notably obesity, suggested a nontraumatic mechanism for the empty sella.
Onset of empty sella syndrome during treatment for Sheehan's syndrome may be the cause of the CSF rhinorrhea. The role of obesity requires further investigation.</description><identifier>ISSN: 0755-4982</identifier><identifier>DOI: 10.1016/S0755-4982(05)84084-9</identifier><identifier>PMID: 16142152</identifier><language>fre</language><publisher>France</publisher><subject>Adult ; Cerebrospinal Fluid Rhinorrhea - etiology ; Empty Sella Syndrome - complications ; Empty Sella Syndrome - etiology ; Female ; Hormone Replacement Therapy ; Humans ; Hypopituitarism - complications ; Hypothyroidism - drug therapy ; Metabolic Syndrome - etiology ; Obesity - complications</subject><ispartof>La Presse médicale (1983), 2005-07, Vol.34 (13), p.935-937</ispartof><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,777,781,27905,27906</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16142152$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ach, K</creatorcontrib><creatorcontrib>Dallel, Y-N</creatorcontrib><creatorcontrib>Bellara, I</creatorcontrib><creatorcontrib>Trimech, A-S</creatorcontrib><creatorcontrib>Maaroufi, B-A</creatorcontrib><creatorcontrib>Chaieb, C-M</creatorcontrib><creatorcontrib>Chaieb, L</creatorcontrib><title>Nontraumatic ethmoid cerebrospinal fluid rhinorrhea complicating Sheehan syndrome</title><title>La Presse médicale (1983)</title><addtitle>Presse Med</addtitle><description>Treatment of pituitary macroadenoma frequently leads to nontraumatic cerebrospinal fistula and rhinorrhea. We report an unusual case of rhinorrhea in a woman with Sheehan's syndrome.
A 39-year-old woman receiving hormone replacement therapy for hypothyroidism diagnosed 13 years earlier (Sheehan's syndrome) developed metabolic syndrome, which combining obesity, type 2 diabetes, hypertension and mixed hyperlipidemia. Cerebrospinal fluid rhinorrhea was confirmed by measurement of the glucose concentration in her nasal discharge and by cerebral MRI, which revealed a fistula of the ethmoid bone and an empty sella. Etiological screening was negative, and normal bone densitometry as well as the absence of trauma ruled out any bone defects. Conversely, the metabolic syndrome, notably obesity, suggested a nontraumatic mechanism for the empty sella.
Onset of empty sella syndrome during treatment for Sheehan's syndrome may be the cause of the CSF rhinorrhea. The role of obesity requires further investigation.</description><subject>Adult</subject><subject>Cerebrospinal Fluid Rhinorrhea - etiology</subject><subject>Empty Sella Syndrome - complications</subject><subject>Empty Sella Syndrome - etiology</subject><subject>Female</subject><subject>Hormone Replacement Therapy</subject><subject>Humans</subject><subject>Hypopituitarism - complications</subject><subject>Hypothyroidism - drug therapy</subject><subject>Metabolic Syndrome - etiology</subject><subject>Obesity - complications</subject><issn>0755-4982</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9kE1LxDAYhHNQ3HX1Jyg9iR6qb5ImTY6yrB-wKLJ6Lmn61laapibtYf-9BVdPAw8zwzCEXFC4pUDl3Q5yIdJMK3YN4kZloLJUH5HlP16Q0xi_ABjNcn1CFlTSjFHBluTtxfdjMJMzY2sTHBvn2yqxGLAMPg5tb7qk7qaZhabtfQgNmsR6N3StnSP9Z7JrEBvTJ3HfV8E7PCPHtekinh90RT4eNu_rp3T7-vi8vt-mA-V6TJkUlJc5N1AqUFqjRMrRAuaWZZSBnNeC1RS0FppzyWhV56xmyCtQjFd8Ra5-e4fgvyeMY-HaaLHrTI9-ioVUQkgpYDZeHoxT6bAqhtA6E_bF3wn8B_NPXXs</recordid><startdate>20050723</startdate><enddate>20050723</enddate><creator>Ach, K</creator><creator>Dallel, Y-N</creator><creator>Bellara, I</creator><creator>Trimech, A-S</creator><creator>Maaroufi, B-A</creator><creator>Chaieb, C-M</creator><creator>Chaieb, L</creator><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>20050723</creationdate><title>Nontraumatic ethmoid cerebrospinal fluid rhinorrhea complicating Sheehan syndrome</title><author>Ach, K ; Dallel, Y-N ; Bellara, I ; Trimech, A-S ; Maaroufi, B-A ; Chaieb, C-M ; Chaieb, L</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-p139t-26513b73a0b80899e6e13ec0e7c2412060020c910995933621df72f2e3d0823d3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>fre</language><creationdate>2005</creationdate><topic>Adult</topic><topic>Cerebrospinal Fluid Rhinorrhea - etiology</topic><topic>Empty Sella Syndrome - complications</topic><topic>Empty Sella Syndrome - etiology</topic><topic>Female</topic><topic>Hormone Replacement Therapy</topic><topic>Humans</topic><topic>Hypopituitarism - complications</topic><topic>Hypothyroidism - drug therapy</topic><topic>Metabolic Syndrome - etiology</topic><topic>Obesity - complications</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ach, K</creatorcontrib><creatorcontrib>Dallel, Y-N</creatorcontrib><creatorcontrib>Bellara, I</creatorcontrib><creatorcontrib>Trimech, A-S</creatorcontrib><creatorcontrib>Maaroufi, B-A</creatorcontrib><creatorcontrib>Chaieb, C-M</creatorcontrib><creatorcontrib>Chaieb, L</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>La Presse médicale (1983)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ach, K</au><au>Dallel, Y-N</au><au>Bellara, I</au><au>Trimech, A-S</au><au>Maaroufi, B-A</au><au>Chaieb, C-M</au><au>Chaieb, L</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Nontraumatic ethmoid cerebrospinal fluid rhinorrhea complicating Sheehan syndrome</atitle><jtitle>La Presse médicale (1983)</jtitle><addtitle>Presse Med</addtitle><date>2005-07-23</date><risdate>2005</risdate><volume>34</volume><issue>13</issue><spage>935</spage><epage>937</epage><pages>935-937</pages><issn>0755-4982</issn><abstract>Treatment of pituitary macroadenoma frequently leads to nontraumatic cerebrospinal fistula and rhinorrhea. We report an unusual case of rhinorrhea in a woman with Sheehan's syndrome.
A 39-year-old woman receiving hormone replacement therapy for hypothyroidism diagnosed 13 years earlier (Sheehan's syndrome) developed metabolic syndrome, which combining obesity, type 2 diabetes, hypertension and mixed hyperlipidemia. Cerebrospinal fluid rhinorrhea was confirmed by measurement of the glucose concentration in her nasal discharge and by cerebral MRI, which revealed a fistula of the ethmoid bone and an empty sella. Etiological screening was negative, and normal bone densitometry as well as the absence of trauma ruled out any bone defects. Conversely, the metabolic syndrome, notably obesity, suggested a nontraumatic mechanism for the empty sella.
Onset of empty sella syndrome during treatment for Sheehan's syndrome may be the cause of the CSF rhinorrhea. The role of obesity requires further investigation.</abstract><cop>France</cop><pmid>16142152</pmid><doi>10.1016/S0755-4982(05)84084-9</doi><tpages>3</tpages></addata></record> |
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subjects | Adult Cerebrospinal Fluid Rhinorrhea - etiology Empty Sella Syndrome - complications Empty Sella Syndrome - etiology Female Hormone Replacement Therapy Humans Hypopituitarism - complications Hypothyroidism - drug therapy Metabolic Syndrome - etiology Obesity - complications |
title | Nontraumatic ethmoid cerebrospinal fluid rhinorrhea complicating Sheehan syndrome |
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