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A 25-year-old woman was seen for the complaint of secondary amenorrhea. Skull roentgenograms revealed a markedly enlarged sella turcica. Studies of pituitary and hypothalamic function including prolactin were normal. A pneumoencephalogram revealed dilated ventricles and a mass in the septum pellucidum and hypothalamus. Partial removal of this hypothalamic astrocytoma and placement of an interventricular shunt resulted in the return of menses. Recurrent obstruction a few months later resulted in headache, disorientation, and amenorrhea. A shunt was placed again, resulting in clearing of symptoms and a reestablishment of normal menstrual cyclicity. It appears that the occurrence of increased intracranial pressure rather than the hypothalamic tumor caused the amenorrhea.
M H Jawadi, and
W Kirsch, and
J P Lock, and
G Betz
January 1955,
Annales d'endocrinologie,
M H Jawadi, and
W Kirsch, and
J P Lock, and
G Betz
November 1996,
Archives de pediatrie : organe officiel de la Societe francaise de pediatrie,
M H Jawadi, and
W Kirsch, and
J P Lock, and
G Betz
November 1979,
Wiener medizinische Wochenschrift (1946),
M H Jawadi, and
W Kirsch, and
J P Lock, and
G Betz
May 1999,
Ginekologia polska,
M H Jawadi, and
W Kirsch, and
J P Lock, and
G Betz
June 1969,
Neurology,
M H Jawadi, and
W Kirsch, and
J P Lock, and
G Betz
July 1984,
Fertility and sterility,
M H Jawadi, and
W Kirsch, and
J P Lock, and
G Betz
December 1996,
Journal of neurosurgery,
M H Jawadi, and
W Kirsch, and
J P Lock, and
G Betz
August 2001,
Journal of Korean medical science,
M H Jawadi, and
W Kirsch, and
J P Lock, and
G Betz
January 1975,
Annales de medecine interne,
M H Jawadi, and
W Kirsch, and
J P Lock, and
G Betz
November 1983,
L'union medicale du Canada,
