Multiple Pituitary Hormone Deficiency Due to Gunshot Injury in a 6-Year-Old Girl
Hüseyin Demirbilek1, Mehmet Nuri Özbek1, Rıza Taner Baran1, Ahmet Baran21Diyarbakır Children’s State Hospital, Pediatric Endocrinology, Diyarbakır, Turkey 2Diyarbakır Children’s State Hospital, Radiology, Diyarbakır, Turkey
Gunshot injuries (GSI) of the cranial area have an extremely high mortality rate. Herein, we present a girl who has been living with a bullet in the posterior sellar region. A 6-year-old girl was admitted with complaints of headache, polyuria and polydypsia, which started after a GSI. At the time of admission the patient’s anthropometric, physical and neurological examinations were normal. Urine output was 5.5 L/m2/24h. A water deprivation test suggested central diabetes insipidus, which responded to treatment. Evaluation of other pituitary hormones revealed central hypothyroidism and growth hormone deficiency. Pituitary hormone deficiency must be kept in mind in patients injured by a gunshot to the sellar/parasellar region.
Hüseyin Demirbilek, Mehmet Nuri Özbek, Rıza Taner Baran, Ahmet Baran. Multiple Pituitary Hormone Deficiency Due to Gunshot Injury in a 6-Year-Old Girl. J Clin Res Pediatr Endocrinol. 2013; 5(3): 209-211 Manuscript Language: English