Two Cases of Hypopituitarism Caused by Intrasellar Aneurysm
Giant internal carotid artery aneurysms sometimes extend into the sellar region, which rarely but occasionally results in hypopituitarism due to the compression of the normal pituitary gland or hypothalamus. Hyponatremia is a known complication of hypopituitarism. We herein report two cases of hypop...
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Veröffentlicht in: | Internal Medicine 2020/03/01, Vol.59(5), pp.677-681 |
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creator | Kageyama, Kazunori Kinoshita, Noriko Terui, Ken Moriyama, Takako Kudo, Takanori Daimon, Makoto |
description | Giant internal carotid artery aneurysms sometimes extend into the sellar region, which rarely but occasionally results in hypopituitarism due to the compression of the normal pituitary gland or hypothalamus. Hyponatremia is a known complication of hypopituitarism. We herein report two cases of hypopituitarism caused by intrasellar aneurysm of different origins, resulting in hyponatremia. Untreated hypopituitarism may lead to lethargy, coma, cardiac arrhythmia, and death. Therefore, we must be alert for the occurrence of giant intrasellar aneurysm, as it causes hypopituitarism. The prompt diagnosis and treatment of hypopituitarism are necessary to prevent this fatal outcome. |
doi_str_mv | 10.2169/internalmedicine.3375-19 |
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Hyponatremia is a known complication of hypopituitarism. We herein report two cases of hypopituitarism caused by intrasellar aneurysm of different origins, resulting in hyponatremia. Untreated hypopituitarism may lead to lethargy, coma, cardiac arrhythmia, and death. Therefore, we must be alert for the occurrence of giant intrasellar aneurysm, as it causes hypopituitarism. 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Med.</addtitle><description>Giant internal carotid artery aneurysms sometimes extend into the sellar region, which rarely but occasionally results in hypopituitarism due to the compression of the normal pituitary gland or hypothalamus. Hyponatremia is a known complication of hypopituitarism. We herein report two cases of hypopituitarism caused by intrasellar aneurysm of different origins, resulting in hyponatremia. Untreated hypopituitarism may lead to lethargy, coma, cardiac arrhythmia, and death. Therefore, we must be alert for the occurrence of giant intrasellar aneurysm, as it causes hypopituitarism. The prompt diagnosis and treatment of hypopituitarism are necessary to prevent this fatal outcome.</description><subject>ACTH deficiency</subject><subject>Aneurysm</subject><subject>Arrhythmia</subject><subject>Carotid artery</subject><subject>Case Report</subject><subject>Coma</subject><subject>Compression</subject><subject>Hyponatremia</subject><subject>hypopituiarism</subject><subject>Hypopituitarism</subject><subject>Hypothalamus</subject><subject>Internal medicine</subject><subject>Pituitary</subject><issn>0918-2918</issn><issn>1349-7235</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2020</creationdate><recordtype>article</recordtype><recordid>eNplkUFP4zAQhS3ECkqXv4AiceESyNixEwsJCVULrYR2L-zZcpwpuEriYieg_vt1aKmAvYwP883Me36EJJBdUhDyynY9-k43LdbW2A4vGSt4CvKATIDlMi0o44dkkkkoUxrLMTkJYZVlrCwkPSLHDIqs5DlMyPXjm0tmOmBI3DKZb9ZubfvB9trb0MbGELBOqk2y6HofqabRPrntcPCb0P4kP5a6CXi6e6fk792vx9k8ffhzv5jdPqRGCNGnBqRZ0opGjRQZx1yUZc2NyGrIwZhC1ICiyKFmFTKQnAlaZ1iBAKmRC8qm5Ga7dz1U0bHBUUuj1t622m-U01Z97XT2WT25VxVNChbvTsnFboF3LwOGXrU2mNFMh24IijJgQrDi_db5N3TlhvGrR0pITgXPZaTKLWW8C8Hjci8GMjUmpL4npMaEFIyjZ5_N7Ac_IonA7y2wCr1-wj2gfW9Ng_9v5lLxsewu7EHzrL3Cjv0DhLWu3g</recordid><startdate>20200301</startdate><enddate>20200301</enddate><creator>Kageyama, Kazunori</creator><creator>Kinoshita, Noriko</creator><creator>Terui, Ken</creator><creator>Moriyama, Takako</creator><creator>Kudo, Takanori</creator><creator>Daimon, Makoto</creator><general>The Japanese Society of Internal Medicine</general><general>Japan Science and Technology Agency</general><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7T5</scope><scope>7TK</scope><scope>7U9</scope><scope>H94</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20200301</creationdate><title>Two Cases of Hypopituitarism Caused by Intrasellar Aneurysm</title><author>Kageyama, Kazunori ; Kinoshita, Noriko ; Terui, Ken ; Moriyama, Takako ; Kudo, Takanori ; Daimon, Makoto</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c666t-c19cf2b23372e35e4688d5c60d141cc76d1e6741d3be3195362d0eb1619ae5623</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2020</creationdate><topic>ACTH deficiency</topic><topic>Aneurysm</topic><topic>Arrhythmia</topic><topic>Carotid artery</topic><topic>Case Report</topic><topic>Coma</topic><topic>Compression</topic><topic>Hyponatremia</topic><topic>hypopituiarism</topic><topic>Hypopituitarism</topic><topic>Hypothalamus</topic><topic>Internal medicine</topic><topic>Pituitary</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Kageyama, Kazunori</creatorcontrib><creatorcontrib>Kinoshita, Noriko</creatorcontrib><creatorcontrib>Terui, Ken</creatorcontrib><creatorcontrib>Moriyama, Takako</creatorcontrib><creatorcontrib>Kudo, Takanori</creatorcontrib><creatorcontrib>Daimon, Makoto</creatorcontrib><collection>PubMed</collection><collection>CrossRef</collection><collection>Immunology Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Internal Medicine</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Kageyama, Kazunori</au><au>Kinoshita, Noriko</au><au>Terui, Ken</au><au>Moriyama, Takako</au><au>Kudo, Takanori</au><au>Daimon, Makoto</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Two Cases of Hypopituitarism Caused by Intrasellar Aneurysm</atitle><jtitle>Internal Medicine</jtitle><addtitle>Intern. Med.</addtitle><date>2020-03-01</date><risdate>2020</risdate><volume>59</volume><issue>5</issue><spage>677</spage><epage>681</epage><pages>677-681</pages><issn>0918-2918</issn><eissn>1349-7235</eissn><abstract>Giant internal carotid artery aneurysms sometimes extend into the sellar region, which rarely but occasionally results in hypopituitarism due to the compression of the normal pituitary gland or hypothalamus. Hyponatremia is a known complication of hypopituitarism. We herein report two cases of hypopituitarism caused by intrasellar aneurysm of different origins, resulting in hyponatremia. Untreated hypopituitarism may lead to lethargy, coma, cardiac arrhythmia, and death. Therefore, we must be alert for the occurrence of giant intrasellar aneurysm, as it causes hypopituitarism. 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subjects | ACTH deficiency Aneurysm Arrhythmia Carotid artery Case Report Coma Compression Hyponatremia hypopituiarism Hypopituitarism Hypothalamus Internal medicine Pituitary |
title | Two Cases of Hypopituitarism Caused by Intrasellar Aneurysm |
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