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Sheehan’s syndrome presenting as postpartum seizures

Department of Anesthesia and Intensive Care, Institute of Medical Science, Banaras Hindu University, Varanasi, Uttar Pradesh, India

Summary

We report a case where a patient presented with generalised tonic-clonic seizures secondary to nausea, vomiting and dehydration. She had suffered a postpartum haemorrhage six months previously. On laboratory assessment hyponatraemia and low hormone concentrations suggested pituitary failure. The diagnosis was confirmed by magnetic resonance imaging of the head, which showed a partially empty sella turcica. Given the severity of the morbidity in this case we emphasise that Sheehan’s syndrome should be suspected in women presenting with postpartum seizures.

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