Limits...
Multiple pituitary hormone deficiency due to gunshot injury in a 6-year-old girl.

Demirbilek H, Ozbek MN, Baran RT, Baran A - J Clin Res Pediatr Endocrinol (2013)

Bottom Line: A water deprivation test suggested central diabetes insipidus, which responded to treatment.Evaluation of other pituitary hormones revealed central hypothyroidism and growth hormone deficiency.Pituitary hormone deficiency must be kept in mind in patients injured by a gunshot to the sellar/parasellar region.

View Article: PubMed Central - PubMed

Affiliation: Diyarbakır Children's State Hospital, Pediatric Endocrinology, Diyarbakır, Turkey. E-mail: dr_huseyin@hotmail.com.

ABSTRACT
Gunshot injuries (GSI) of the cranial area have an extremely high mortality rate. Herein, we present a girl who has been living with a bullet in the posterior sellar region. A 6-year-old girl was admitted with complaints of headache, polyuria and polydypsia, which started after a GSI. At the time of admission the patient's anthropometric, physical and neurological examinations were normal. Urine output was 5.5 L/m2/24h. A water deprivation test suggested central diabetes insipidus, which responded to treatment. Evaluation of other pituitary hormones revealed central hypothyroidism and growth hormone deficiency. Pituitary hormone deficiency must be kept in mind in patients injured by a gunshot to the sellar/parasellar region.

Show MeSH

Related in: MedlinePlus

Bullet located in the posterior wall of the sella
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC3814539&req=5

f1: Bullet located in the posterior wall of the sella

Mentions: A 6-year-old girl was admitted to our clinic with complaints of headache, polyuria, and polydypsia. The patient was reported to be healthy until 5 months ago, when she suffered a head injury with an unknown foreign object while playing in the garden. Radiological examination revealed a bullet in her skull thought to be a GSI (Figure 1). Since the bullet was adjacent to vital regions of the brain, she was deemed inoperable, and was left to live with a bullet in her brain. Her complaints, mainly consisting of headache, polyuria and polydypsia, started at that time. Her family history was unremarkable. At the time of admission, her height was 113.5 cm (25th-50th percentile) and weight was 21 kg (50th percentile). Other physical findings were normal.


Multiple pituitary hormone deficiency due to gunshot injury in a 6-year-old girl.

Demirbilek H, Ozbek MN, Baran RT, Baran A - J Clin Res Pediatr Endocrinol (2013)

Bullet located in the posterior wall of the sella
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3814539&req=5

f1: Bullet located in the posterior wall of the sella
Mentions: A 6-year-old girl was admitted to our clinic with complaints of headache, polyuria, and polydypsia. The patient was reported to be healthy until 5 months ago, when she suffered a head injury with an unknown foreign object while playing in the garden. Radiological examination revealed a bullet in her skull thought to be a GSI (Figure 1). Since the bullet was adjacent to vital regions of the brain, she was deemed inoperable, and was left to live with a bullet in her brain. Her complaints, mainly consisting of headache, polyuria and polydypsia, started at that time. Her family history was unremarkable. At the time of admission, her height was 113.5 cm (25th-50th percentile) and weight was 21 kg (50th percentile). Other physical findings were normal.

Bottom Line: A water deprivation test suggested central diabetes insipidus, which responded to treatment.Evaluation of other pituitary hormones revealed central hypothyroidism and growth hormone deficiency.Pituitary hormone deficiency must be kept in mind in patients injured by a gunshot to the sellar/parasellar region.

View Article: PubMed Central - PubMed

Affiliation: Diyarbakır Children's State Hospital, Pediatric Endocrinology, Diyarbakır, Turkey. E-mail: dr_huseyin@hotmail.com.

ABSTRACT
Gunshot injuries (GSI) of the cranial area have an extremely high mortality rate. Herein, we present a girl who has been living with a bullet in the posterior sellar region. A 6-year-old girl was admitted with complaints of headache, polyuria and polydypsia, which started after a GSI. At the time of admission the patient's anthropometric, physical and neurological examinations were normal. Urine output was 5.5 L/m2/24h. A water deprivation test suggested central diabetes insipidus, which responded to treatment. Evaluation of other pituitary hormones revealed central hypothyroidism and growth hormone deficiency. Pituitary hormone deficiency must be kept in mind in patients injured by a gunshot to the sellar/parasellar region.

Show MeSH
Related in: MedlinePlus