Secondary amenorrhea due to hydrocephalus treated with endoscopic ventriculocisternostomy

Case report

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  • 1 Departments of Neurosurgery, Obstetrics and Gynecology and Reproductive Sciences, and Medicine, and Division of Endocrinology, University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania
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✓ The authors present a case of secondary amenorrhea in a 32-year-old woman found to have noncommunicating hydrocephalus due to aqueductal stenosis. Although the presentation of hydrocephalus with amenorrhea has been previously reported, this association remains rare. After treatment via endoscopic third ventriculocisternostomy, the patient resumed normal menstruation and all hormonal abnormalities have resolved except hypothyroidism. A review of the literature on the etiology of endocrinological disturbances in patients with hydrocephalus is presented.

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