Panhypopituitarism and empty sella after ischemic stroke: A case report

Stroke is a leading cause of death and disability. Recent studies indicate that some degree of pituitary dysfunction may be observed after an acute stroke and this condition is commonly misdiagnosed. Reported here is the case of a 65 yearold man who developed symptoms of pituitary deficiency a few months after a frontal lobe stroke and finally presented with hypoglycemia and coma. Investigation revealed panhypopitutarism and presence of empty sella and a very small pituitary. He responded to treatment well. Conclusion: Patients with history of ischemic stroke and suggestive symptoms need evaluation of pituitary function. A R T I C L E I N F O Article history: Received: 20 Jan 2010 Revised: 1 Feb 2010 Accepted: 16 Feb 2010