Indian Journal of Neurosurgery 2016; 05(01): 037-039
DOI: 10.1055/s-0036-1572380
Case Report
Neurological Surgeons' Society of India

An Interesting Case of “Pituitary Macroadenoma” That Resolved with Levothyroxine Therapy

Srinivasa P. Munigoti
1   Fortis Hospital, B. G. Road, Bengaluru, India
,
Satish Satyanarayana
1   Fortis Hospital, B. G. Road, Bengaluru, India
,
Santhosh Krishnamurthy
1   Fortis Hospital, B. G. Road, Bengaluru, India
› Author Affiliations
Further Information

Publication History

05 November 2015

18 November 2015

Publication Date:
24 February 2016 (online)

Abstract

This is a rare case of asymptomatic severe primary hypothyroidism presenting for the first time as a pituitary macroadenoma to the neurosurgical team, which resolved after treatment with levothyroxine (T4) without the need for surgery.

 
  • References

  • 1 Beck-Peccoz P, Brucker-Davis F, Persani L, Smallridge RC, Weintraub BD. Thyrotropin-secreting pituitary tumors. Endocr Rev 1996; 17 (6) 610-638
  • 2 Khawaja NM, Taher BM, Barham ME , et al. Pituitary enlargement in patients with primary hypothyroidism. Endocr Pract 2006; 12 (1) 29-34
  • 3 Joshi AS, Woolf PD. Pituitary hyperplasia secondary to primary hypothyroidism: a case report and review of the literature. Pituitary 2005; 8 (2) 99-103
  • 4 Yen PM. Physiological and molecular basis of thyroid hormone action. Physiol Rev 2001; 81 (3) 1097-1142
  • 5 Nicholas WC, Russell WF. Primary hypothyroidism presenting as a pituitary mass. J Miss State Med Assoc 2000; 41 (3) 511-514
  • 6 Young M, Kattner K, Gupta K. Pituitary hyperplasia resulting from primary hypothyroidism mimicking macroadenomas. Br J Neurosurg 1999; 13 (2) 138-142
  • 7 Ehirim PU, Kerr DS, Cohen AR. Primary hypothyroidism mimicking a pituitary macroadenoma. Pediatr Neurosurg 1998; 28 (4) 195-197
  • 8 Betônico CC, Rodrigues R, Mendonça SC, Jorge PT. [Primary hypothyroidism mimicking pituitary macroadenoma]. Arq Bras Endocrinol Metabol 2004; 48 (3) 423-426