Journals / İzmir Tepecik Eğitim Hastanesi Dergisi / 2019 / Cilt: 29 - Sayı: 3

Pituitary Stalk Interruption Syndrome Diagnosed with Different Clinical Findings: Report of Two Cases

Farklı Klinik Bulgularla Tanı Alan Hipofiz Sapı Kesilme Sendromu: İki Olgu Raporu

Pages
285–290
DOI
—
🏛️Bibliographic metadata and full text access for this article are provided via DergiPark.
DergiPark Record ↗
✨

AI Summary & Key Takeaways

AI Insight
⚡ TL;DR(Too Long; Didn't Read)

This report describes two cases with PSIS who were diagnosed at the ages of six and sixteen based on diverse clinical findings.

📌 3 Key Takeaways

🎯
Objective & Hypothesis:Pituitary stalk interruption syndrome (PSIS) is a rare congenital syndrome characterized by a classical triad of interrupted pituitary stalk, ectopic posterior pituitary and hypoplasia or aplasia of anterior pituitary with varying degrees of pituitary hormone deficiency.
📊
Key Findings & Data:It presents with hypoglycemia, prolonged jaundice, cryptorchidism and micropenis in neonates while short stature and delayed puberty are the main findings in older children and adults.
💡
Conclusion & Impact:This report describes two cases with PSIS who were diagnosed at the ages of six and sixteen based on diverse clinical findings.
🔬Design:Research Article
📍Scope:Comprehensive Sample
⚙️Variables:Domain Parameters

Abstract

Pituitary stalk interruption syndrome (PSIS) is a rare congenital syndrome characterized by a classical triad of interrupted pituitary stalk, ectopic posterior pituitary and hypoplasia or aplasia of anterior pituitary with varying degrees of pituitary hormone deficiency. It presents with hypoglycemia, prolonged jaundice, cryptorchidism and micropenis in neonates while short stature and delayed puberty are the main findings in older children and adults. The diagnosis of PSIS is made according to radiological findings. This report describes two cases with PSIS who were diagnosed at the ages of six and sixteen based on diverse clinical findings.

Özet

Hipofiz sapı kesilme sendromu (HSKS), kesintili hipofiz sapı, ektopik arka hipofiz ve ön hipofiz hipoplazisi/aplazisi ile karakterize olup değişen derecelerde hipofiz hormon eksikliğinin eşlik ettiği doğumsal bir anormalliktir. Kesin eti- yolojik neden bilinmemektedir. Ön hipofiz hormon eksikliklerine bağlı olarak, yenidoğan döneminde hipoglisemi, uzamış sarılık, inmemiş testis ve mikropenis, çocukluk döneminde ise boy kısalığı ve puberte gecikmesi ile prezente olup, tanısı radyolojik bulgulara göre konmaktadır. Bu raporda, altı ve on altı yaşlarında farklı klinik bulgularla HSKS tanısı alan iki olgu sunulmuştu

🔖

Cite This Article

AYRANCI, İ., ÇATLI, G., FİLİBELİ, B., MANYAS, H., KOÇYİĞİT, C., ÖZTEKİN, Ö., DÜNDAR, B. N. (2019). Pituitary Stalk Interruption Syndrome Diagnosed with Different Clinical Findings: Report of Two Cases. İzmir Tepecik Eğitim Hastanesi Dergisi, Cilt: 29 - Sayı: 3, 285–290. https://ajindex.com/articles/268044

📄 Full Text PDF Viewer

📄

PDF görüntüleyici hazırlanıyor...

References (13)

  1. Gascoin-Lachambre G, Brauner R, Duche L, Chalumeau M. Pituitary stalk interruption syndrome: diagnostic delay and sensitivity of the auxological criteria of the growth hormone research society. PLoS One. 2011
  2. e16367. [CrossRef] 2. Ioachimescu AG, Hamrahian AH, Stevens M, Zimmerman RS. The pituitary stalk transection syndrome: multifaceted presentation in adulthood. Pituitary. 2012
  3. [CrossRef] 3. Arrigo T, De Luca F, Maghnie M, Blandino A, et al. Relationships between neuroradiological and clinical features in apparently idiopathic hypopituitarism. Eur J Endocrinol. 1998
  4. [CrossRef] 4. Pinto G, Netchine I, Sobrier ML, Brunelle F, Souberbielle JC, Brauner R. Pituitary stalk interruption syndrome: a clinicalbiological-genetic assessment of its pathogenesis. J Clin Endocrinol Metab. 1997
  5. [CrossRef] 5. El Chehadeh-Djebbar S, Callier P, Masurel-Paulet A, et al. Thauvin-Robinet C. 17q21.31 microdeletion in a patient with pituitary stalk interruption syndrome. Eur J Med Genet. 2011
  6. [CrossRef] 6. Arrigo T, Wasniewska M, De Luca F, et al. Congenital adenohypophysis aplasia: clinical features and analysis of the transcriptional factors for embryonic pituitary development. J Endocrinol Invest. 2006
  7. [CrossRef] 7. Turton JP, Mehta A, Raza J, et al. Mutations within the transcription factor PROP1 are rare in a cohort of patients with sporadic combined pituitary hormone deficiency (CPHD). Clin Endocrinol (Oxf). 2005
  8. [CrossRef] 8. Melo ME, Marui S, Carvalho LR, et al. Hormonal,pituitary magnetic resonance, LHX4 and HESX1 evaluation in patients with hypopituitarism and ectopic posterior pituitary lobe. Clin Endocrinol (Oxf). 2007
  9. [CrossRef] 9. Reynaud R, Albarel FDR, Saveanu A, et al. Pituitary stalk interruption syndrome in 83 patients: novel HESX1 mutation and severe hormonal prognosis in malformative forms. Eur J Endocrinol. 2011
  10. [CrossRef] 10. Vijayanand P, Mahadevan S, Shivbalan S, Reddy N, Ramdoss N. Pituitary stalk interruption syndrome (PSIS). Indian J Pediatr. 2007
  11. [CrossRef] 11. Guo Q, Yang Y, Mu Y, et al. Pituitary stalk interruption syndrome in Chinese people: clinical characteristic analysis of 55 cases. PLoS One. 2013
  12. e53579. [CrossRef] 12. Van der Linden ASA, Van Es HW. Case 112: pituitary stalk transection syndrome with ectopic posterior pituitary gland. Radiology. 2007
  13. [CrossRef] 13. Zuccoli G, Nicoli F, Tognini G, Ferrozzi F. Pituitary stalk int