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Sheehan's syndrome MRI

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

Overview

Findings on MRI suggestive of Sheehan’s syndrome are decreased sellar volume, empty sella, pituitary remnant tissue, or CSF in the sella.

MRI

An MRI can done to diagnose Sheehan’s syndrome and to exclude any suspected pituitary mass.The MRI findings in case of Sheehan’s syndrome are:[1][2]

  • Early MRI findings:
    • Enlarged pituitary, with low T1, high T2 homogenous signal may be seen.
    • Ring enhancement is observed.
  • Late MRI findings:
Empty Sella. Source: Wikimedia Commons[6]


References

  1. Keleştimur F (2003). “Sheehan’s syndrome”. Pituitary. 6 (4): 181–8. PMID 15237929.
  2. 2.0 2.1 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.
  3. Barkan AL (1989). “Pituitary atrophy in patients with Sheehan’s syndrome”. Am. J. Med. Sci. 298 (1): 38–40. PMID 2750772.
  4. 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.
  5. Kaplun J, Fratila C, Ferenczi A, Yang WC, Lantos G, Fleckman AM, Schubart UK (2008). “Sequential pituitary MR imaging in Sheehan syndrome: report of 2 cases”. AJNR Am J Neuroradiol. 29 (5): 941–3. doi:10.3174/ajnr.A1016. PMID 18296547.
  6. “File:Empty Sella MRT FLAIR sag 001.jpg – Wikimedia Commons”. Text “Hellerhoff ” ignored (help)

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