Sheehan syndrome: acute presentation with severe headache.

Journal Article (Journal Article)

Postpartum headache is a common occurrence with a broad differential diagnosis. Sheehan syndrome, or postpartum pituitary necrosis, is not typically recognized as a cause of postpartum headache. We present a case of Sheehan syndrome that initially presented as severe headache after vaginal delivery complicated by retained placenta and postpartum hemorrhage. The patient was discharged home on postpartum day three but continued to have headaches and returned to hospital on postpartum day six with severe headache, failure to lactate, edema, dizziness, fatigue, nausea and vomiting. Cranial magnetic resonance imaging revealed pituitary infarction consistent with Sheehan syndrome. We discuss the differential diagnosis for postpartum headache, the pathophysiological features of Sheehan syndrome and headache as an atypical acute presentation.

Full Text

Duke Authors

Cited Authors

  • Hale, B; Habib, AS

Published Date

  • November 2014

Published In

Volume / Issue

  • 23 / 4

Start / End Page

  • 383 - 386

PubMed ID

  • 25223643

Electronic International Standard Serial Number (EISSN)

  • 1532-3374

Digital Object Identifier (DOI)

  • 10.1016/j.ijoa.2014.04.011


  • eng

Conference Location

  • Netherlands