Recurrent dizzy spells: all in the head!

Abstract:

:Hypoglycaemia is an uncommon manifestation of hypopituitarism in non-diabetic adults. A 47-year-old woman with Cushing's disease was treated with bilateral adrenalectomy and pituitary radiotherapy following unsuccessful trans-sphenoidal surgery. Twenty years later, she presented with a tonic-clonic seizure and recurrent symptoms suggestive of spontaneous hypoglycaemia. Her symptoms continued despite manipulation of her glucocorticoid replacement therapy. Recurrent severe hypoglycaemia resolved after identification and treatment of her concomitant growth hormone deficiency. In patients with hypopituitarism, undiagnosed growth hormone deficiency can influence glucose metabolism and predispose to severe hypoglycaemia.

journal_name

Ann Clin Biochem

authors

McAulay V,Seckl JR,Strachan MW

subject

Has Abstract

pub_date

2005-01-01 00:00:00

pages

78-9

issue

Pt 1

eissn

0004-5632

issn

1758-1001

journal_volume

42

pub_type

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