Pituitary stalk interruption syndrome: Case report of three cases with review of literature

J Pediatr Neurosci. 2014 May;9(2):188-91. doi: 10.4103/1817-1745.139363.

Abstract

Pickardt syndrome (Pickardt-Fahlbusch syndrome) is a rare congenital syndrome characterized by tertiary hypothyroidism caused by the interruption of the portal veins between hypothalamus and adenohypophysis. Typical features of this syndrome are tertiary hypothyroidism with low thyroid stimulating hormone, hyperprolactinemia and other pituitary hormone deficiencies. Pituitary stalk interruption syndrome is characterized by a triad of thin or interrupted pituitary stalk, aplasia or hypoplasia of the anterior pituitary and absent or ectopic posterior pituitary (EPP) seen on magnetic resonance imaging (MRI). It is a congenital anomaly of pituitary whose exact prevalence is unknown. In some cases, it is restricted to EPP or pituitary stalk interruption. We are presenting the case history along with MRI finding of three children's who presented with short stature and delayed puberty.

Keywords: Delayed puberty; ectopic posterior pituitary; multiple pituitary hormones deficiency; pituitary stalk interruption syndrome.

Publication types

  • Case Reports