A Case of Exaggerated Pituitary Hyperplasia in a Pregnant Woman

Author:

Charitou Marina M1ORCID,Mathew Ribu2ORCID

Affiliation:

1. Department of Endocrinology, Stony Brook University Hospital , 26 Research Way, East Setauket, NY 11733 , USA

2. Department of Internal Medicine, Stony Brook University Hospital , 59 Timber Ridge Drive, Huntington, NY 11743 , USA

Abstract

Abstract Pituitary hyperplasia occurs as a result of an increase in pituitary cell subtypes. It can be a consequence of either a physiological or pathological condition. In our case, a 31-year-old pregnant woman at 16 weeks gestation presented with headaches and vision changes. Visual field testing demonstrated bitemporal hemianopsia, and magnetic resonance imaging (MRI) brain showed enlargement of the pituitary with compression of the optic chiasm. She was treated with cabergoline and steroids, and her symptoms improved. In a subsequent pregnancy, the patient developed similar symptoms, and with cabergoline treatment, her symptoms resolved. A postpartum MRI of her brain revealed a decrease in pituitary size back to baseline with normal pituitary hormone levels. This patient's likely diagnosis was physiologic pituitary hyperplasia. Pituitary hyperplasia can be difficult to diagnose since there are no explicit guidelines. Through deduction of imaging findings and hormonal levels, diagnosis of pituitary hyperplasia becomes a more manageable task.

Publisher

The Endocrine Society

Reference10 articles.

1. Pregnancy and pituitary disorders: challenges in diagnosis and management;Laway;Indian J Endocrinol Metab,2013

2. Pituitary disease and pregnancy;Valassi;Endocrinol Diabetes Nutr (English Ed),2021

3. Pregnancy and pituitary disorders;Karaca;Endocrine Abstracts,2012

4. Pregnancy and pituitary disorders;Karaca;Eur J Endocrinol,2010

5. Endocrinology in pregnancy: management of the pregnant patient with a prolactinoma;Molitch;Eur J Endocrinol,2015

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