Yang Xiao-Yan, Zheng Yong-Su, Tuo Jin-Mei, Zhang Hai-Qing, Xu Zu-Cai
Department of Neurology Affiliated Hospital of Zunyi Medical University Zunyi China.
Department of Health Promotion System Sciences, Division of Health Sciences, Graduate School of Medicine Osaka University Suita Japan.
Ibrain. 2023 Mar 20;10(4):542-546. doi: 10.1002/ibra.12096. eCollection 2024 Winter.
A 48-year-old female patient was hospitalized for 5 days after a cold. Encephalitis was considered after preliminary history and routine examination, but the patient did not show significant improvement after antiviral treatment. At this time, magnetic resonance imaging indicated pituitary atrophy, and the patient's medical history was assessed. She had a history of postpartum bleeding and amenorrhea 15 years ago. The supplementary examination indicated hormonal abnormalities. These suggested that the patient may have had Sheehan's syndrome (SS). After hormone supplementation treatment for 10 days, her condition improved. This case suggested that in female patients with neuropsychiatric disorders with a history of previous postpartum hemorrhage, attention needs to be paid to screening for SS to improve the related diagnosis and treatment rate.
一名48岁女性患者感冒后住院5天。经初步病史采集和常规检查后考虑为脑炎，但抗病毒治疗后患者未见明显改善。此时，磁共振成像显示垂体萎缩，并对患者病史进行了评估。她15年前有产后出血和闭经史。补充检查提示激素异常。这些提示该患者可能患有席汉综合征（SS）。补充激素治疗10天后，她的病情有所改善。该病例提示，对于有既往产后出血史的神经精神障碍女性患者，需注意筛查SS，以提高相关诊治率。
