Teaching NeuroImages: Sequential MRI of the pituitary in Sheehan syndrome

A 32-year-woman with postpartum bleeding was unable to lactate. Investigations revealed hypocortisolism and hypoprolactinemia. MRI revealed an enlarged cystic pituitary suspicious for infarct. Sheehan syndrome is a clinical state of panhypopituitarism resulting from pituitary infarction after a peripartum hypotensive episode.1,2 In …