Pituitary stalk transection syndrome

Case contributed by Dalia Ibrahim
Diagnosis probable

Presentation

Growth retardation and growth hormone deficiency diagnosed in first year of life, treated by hormonal replacement therapy.

Patient Data

Age: 5 years
Gender: Male

Ectopic posterior pituitary at the median eminence.

Small hypoplastic adenohypophysis.

Absent pituitary stalk.

Enlarged nasopharyngeal adenoids (incidental finding).

 

Annotated image

Ectopic posterior pituitary at the median eminence. (White arrow)

Absent pituitary stalk.(Red arrow)

Small hypoplastic adenohypophysis.(Orange arrow)

 

Case Discussion

Pituitary stalk transection syndrome, also known as pituitary stalk interruption syndrome, is a disease characterized by absent/hypoplastic anterior pituitary gland, thin or absent infundibulum and ectopic posterior pituitary location .

Special thanks to Dr Bahaa Al Din Mahmoud, assistant lecturer, Kasr Al Ainy Hospital

 

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