EURORAD ESR

Case 15437

Atypical cause of short stature with growth hormone deficiency: Pituitary stalk interruption syndrome

Author(s)
Naresh Bansal, Palak Patel, Pratik Panasara, Shikha Khandelwal, Dhara Patel, Mrugesh Doctor

Gujarat Imaging Centre;
Samved Hospital,
Commerce Six Road,
Navarangpura
380009 Ahmedabad, India;
Email:nareshbansals@gmail.com
 
Patient
male, 12 year(s)
 
 
  • Figure 1
    X-ray of both hands AP

    Ossification of four carpal bones is seen. Lower end of ulna is not ossified, suggesting bone age of less than 8 years.

     
    Area of Interest: Musculoskeletal bone; Imaging Technique: Plain radiographic studies; Procedure: Diagnostic procedure; Special Focus: Endocrine disorders;
     
     
  • Figure 2
    T1W sagittal image

    T1W mid-sagittal image shows ectopic posterior pituitary (as evidenced by hyperintense focus) located at median eminence.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Endocrine disorders;
     
     
  • Figure 3
    T1W coronal image

    T1W coronal image shows ectopic posterior pituitary (as evidenced by hyperintense focus) located at median eminence.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Endocrine disorders;
     
     
  • Figure 4
    T2W sagittal image

    T2W mid-sagittal image reveals hypoplastic anterior pituitary gland in pituitary fossa and non-visualisation of pituitary stalk.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Endocrine disorders;
     
     
  • Figure 5
    T2W coronal image

    T2W coronal image reveals non-visualisation of pituitary stalk.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Endocrine disorders;
     
     
Ossification of four carpal bones is seen. Lower end of ulna is not ossified, suggesting bone age of less than 8 years.
 
T1W mid-sagittal image shows ectopic posterior pituitary (as evidenced by hyperintense focus) located at median eminence.
 
T1W coronal image shows ectopic posterior pituitary (as evidenced by hyperintense focus) located at median eminence.
 
T2W mid-sagittal image reveals hypoplastic anterior pituitary gland in pituitary fossa and non-visualisation of pituitary stalk.
 
T2W coronal image reveals non-visualisation of pituitary stalk.
 
 
 
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