Pituitary Gland Atrophy with Hypopituitarism

Abstract

       A 27-year-old monk had had a traumatic brain injury and craniotomy 8 years ago. He presented with alteration of consciousness, fatigue, weakness, slur speech, taking little food and inability to do everything 1 month before hospital arrival. Physical examinations reveal reduced lean body mass, no body hair, no axillary hair, no pubic hair, big tongue and slow relaxation of reflexes. Laboratory investigations show hyponatremia, low cortisol, FT4, TSH, LH, FSH and testosterone. MRI shows diffuse severe pituitary gland atrophy. He was diagnosed pituitary gland atrophy with hypopituitarism. Treatment with prednisolone, Ievothyroxine and testosterone enanthate were taken for 2 months. He had got body hair and pubic hair. He was capable of walking, taking food, clear talking and having activities similar to other monks.