Case Report
A Case of Rathke’s Cleft Cyst Associated with Transient Central Adrenal Insufficiency and Masked Diabetes Insipidus
Table 1
Preoperative and postoperative basal endocrine data.
| | Basal hormone level | Before surgery | Postoperative day 5 | Postoperative day 60 |
| | ACTH (pg/mL) | 5 | 11.9 | 17 | | Cortisol (μg/dL) | <1.0 | 25.2 | 12.9 | | TSH (μIU/mL) | 0.01 | 0.66 | 1.1 | | Free T3 (pg/mL) | 6.6 | 1.5 | 1.5 | | Free T4 (ng/dL) | 1.82 | 0.42 | 0.34 | | GH (ng/mL) | 0.18 | 0.6 | 0.24 | | IGF-1 (ng/mL) | 67.8 | 39.0 | 87.6 | | PRL (ng/mL) | 116.7 | 35.1 | 47.6 | | LH (mIU/mL) |
0.1 | 0.3 | 0.1 | | FSH (mIU/mL) | 2.5 | 2.5 | 1.5 | | Renin activity (ng/mL/hr) | 6.7 | — | 2.3 | | Aldosterone (pg/mL) | 151 | — | 126 | | DHEA-S (μg/dL) | 13 | — | — | | Estradiol (pg/mL) | 16 | — | — | | AVP (pg/mL) | 1.19 | — | 2.4 |
| | ACTH stimulation test | | — | | | Cortisol (μg/dL) 0 (min) | 1.0 | — | 12.1 | | Cortisol (μg/dL) 30 (min) | 7.5 | — | 23.3 | | Cortisol (μg/dL) 60 (min) | 10.2 | — | 28.5 |
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ACTH: adrenocorticotrophic hormone; TSH: thyroid stimulating hormone; T3: triiodothyronine; T4: thyroxine; GH: growth hormone; IGF-1: insulin-like growth factor-1; LH: luteinizing hormone; FSH: follicle-stimulating hormone; DHEA-S: dehydroepiandrosterone-sulfate; AVP: arginine vasopressin.
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