Sheehan's syndrome CT

Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Iqra Qamar M.D.[2]

Overview

CT scan findings in case of acute presentation of Sheehan’s syndrome may show non-hemorrhagic pituitary gland enlargement while chronic presentation may show an empty sella or decreased sellar volume.

CT scan

Acute presentation shows non-hemorrhagic pituitary gland enlargement.^[1]
Chronic presntation shows:
- Ring enhancement surrounding a low attenuation empty sella.
- Decreased sellar volume or empty sella.^[2]^[3]^[4]

Case courtesy of Dr Chris O’Donnell, Empty sella in Sheehan’s syndrome ^[5]

References

↑ Lavallée G, Morcos R, Palardy J, Aubé M, Gilbert D (1995). “MR of nonhemorrhagic postpartum pituitary apoplexy”. AJNR Am J Neuroradiol. 16 (9): 1939–41. PMID 8693999.
↑ Barkan AL (1989). “Pituitary atrophy in patients with Sheehan’s syndrome”. Am. J. Med. Sci. 298 (1): 38–40. PMID 2750772.
↑ Sherif IH, Vanderley CM, Beshyah S, Bosairi S (1989). “Sella size and contents in Sheehan’s syndrome”. Clin. Endocrinol. (Oxf). 30 (6): 613–8. PMID 2591059.
↑ Bakiri F, Bendib SE, Maoui R, Bendib A, Benmiloud M (1991). “The sella turcica in Sheehan’s syndrome: computerized tomographic study in 54 patients”. J. Endocrinol. Invest. 14 (3): 193–6. doi:10.1007/BF03346787. PMID 1906495.
↑ Radiopaedia.org</a>. From the case <a href=”https://radiopaedia.org/cases/20261“>rID: 20261

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[pmid8693999-1] Lavallée G, Morcos R, Palardy J, Aubé M, Gilbert D (1995). “MR of nonhemorrhagic postpartum pituitary apoplexy”. AJNR Am J Neuroradiol. 16 (9): 1939–41. PMID 8693999.

[pmid2750772-2] Barkan AL (1989). “Pituitary atrophy in patients with Sheehan’s syndrome”. Am. J. Med. Sci. 298 (1): 38–40. PMID 2750772.

[pmid2591059-3] Sherif IH, Vanderley CM, Beshyah S, Bosairi S (1989). “Sella size and contents in Sheehan’s syndrome”. Clin. Endocrinol. (Oxf). 30 (6): 613–8. PMID 2591059.

[pmid1906495-4] Bakiri F, Bendib SE, Maoui R, Bendib A, Benmiloud M (1991). “The sella turcica in Sheehan’s syndrome: computerized tomographic study in 54 patients”. J. Endocrinol. Invest. 14 (3): 193–6. doi:10.1007/BF03346787. PMID 1906495.

[5] Radiopaedia.org</a>. From the case <a href=”https://radiopaedia.org/cases/20261“>rID: 20261

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