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Secondary Amenorrhea Caused by Hydrocephalus Due to Aqueductal Stenosis : Report of Two Cases
Journal of Korean Medical Science ; : 532-536, 2001.
Artigo em Inglês | WPRIM | ID: wpr-51962
ABSTRACT
Amenorrhea is rarely presented as a manifestation of endocrinological disturbances in patients of chronic hydrocephalus. We describe two cases of secondary amenorrhea caused by hydrocephalus due to aqueductal stenosis. Two female patients of age 30 and 20 yr presented with amenorrhea and increasing headache. Magnetic resonance images revealed marked, noncommunicating hydrocephalus without any tumorous lesion. In one patient, emergent extraventricular drainage was necessary because of progressive neurological deterioration. Each patient underwent surgical intervention for the hydrocephalus-ventriculoperitoneal shunt and endoscopic third ventriculostomy. Both resumed normal menstruation continuing so far with further normal menstrual bleeding. These two cases and others reported in the literature indicated that the surgical intervention for hydrocephalus resolves amenorrhea in all the cases of amenorrhea due to hydrocephalus. The suspected role of the surgery is the correction of increased intracranial pressure, which is an important pathogenetic factor in the development of amenorrhea.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Derivações do Líquido Cefalorraquidiano / Aqueduto do Mesencéfalo / Hormônio Liberador de Gonadotropina / Amenorreia / Hidrocefalia Limite: Adulto / Feminino / Humanos Idioma: Inglês Revista: Journal of Korean Medical Science Ano de publicação: 2001 Tipo de documento: Artigo

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Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Derivações do Líquido Cefalorraquidiano / Aqueduto do Mesencéfalo / Hormônio Liberador de Gonadotropina / Amenorreia / Hidrocefalia Limite: Adulto / Feminino / Humanos Idioma: Inglês Revista: Journal of Korean Medical Science Ano de publicação: 2001 Tipo de documento: Artigo