Skip to main content

Panhypopituitarism

  • Chapter
  • First Online:
Consults in Obstetric Anesthesiology

Abstract

Panhypopituitarism is defined as partial or complete absence of pituitary hormone secretion. The two main causes of panhypopituitarism in the peripartum period are lymphocytic hypophysitis and ischemic pituitary necrosis (Sheehan syndrome). Strategies for medical management that is safe for both mother and fetus will be presented. The anesthetic management of labor and delivery as well as operative deliveries will be discussed.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 169.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Molitch ME, Gillam MP. Lymphocytic hypophysitis. Horm Res Paediatr. 2007;68(5):145–50.

    Article  Google Scholar 

  2. Karaca Z, Kelestimur F. Pregnancy and other pituitary disorders (including GH deficiency). Best Pract Res Clin Endocrinol Metab. 2011;25(6):897–910.

    Article  CAS  Google Scholar 

  3. Tonda C, Rivzi A. Headache, pituitary lesion and panhypopituitarism in a pregnant woman: tumor, apoplexy or hypophysitis? Am J Med Sci. 2011;342(3):247–9.

    Article  Google Scholar 

  4. Khoo CM, Lee KO. Endocrine emergencies in pregnancy. Best Pract Res Clin Obstet Gynaecol. 2013;27(6):885–91.

    Article  Google Scholar 

  5. Cosman F, Post KD, Holub DA, Wardlaw SL. Lymphocytic hypophysitis. Report of 3 new cases and review of the literature. Medicine. 1989;68(4):240–56.

    Article  CAS  Google Scholar 

  6. Overton CE, Davis CJ, West C, Davies MC, Conway GS. High risk pregnancies in hypopituitary women. Hum Reprod. 2002;17(6):1464–7.

    Article  Google Scholar 

  7. Su TM, Lan CM, Yang LC, Lee TC, Wang KW, Hung KS. Brain tumor presenting with fatal herniation following delivery under epidural anesthesia. Anesthesiology. 2002;96(2):508–9.

    Article  Google Scholar 

  8. Goroszeniuk T, Howard RS, Wright JT. The management of labour using continuous lumbar epidural analgesia in a patient with a malignant cerebral tumour. Anaesthesia. 1986;41(11):1128–9.

    Article  CAS  Google Scholar 

  9. Leffert LR, Schwamm LH. Neuraxial anesthesia in parturients with intracranial pathology: a comprehensive review and reassessment of risk. Anesthesiology. 2013;119(3):703–18.

    Article  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Stephen H. Halpern M.D. .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Traill, C., Halpern, S.H. (2018). Panhypopituitarism. In: Mankowitz, S. (eds) Consults in Obstetric Anesthesiology. Springer, Cham. https://doi.org/10.1007/978-3-319-59680-8_117

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-59680-8_117

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-59679-2

  • Online ISBN: 978-3-319-59680-8

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics