Overview
Definition
Postpartum ischemic necrosis of the pituitary gland.
Epidemiology
Varies globally depending on genetics, environment, or exposure.
Etiology & Risk Factors
- Severe postpartum hemorrhage/hypotension.
Clinical Symptoms
- Failure to lactate (agnosia)
- amenorrhea
- secondary hypothyroidism/adrenal insufficiency.
Clinical Approach
Diagnosis
- Low anterior pituitary hormones (Prolactin
- TSH
- ACTH)
- MRI Pituitary.
Management
- Lifelong hormone replacement therapy.
Complications
- Adrenal crisis.