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[Primary amenorrhea in patient with persistent communicating hydrocephalus]
R Słopień1, A Warenik-Szymankiewicz, M Maciejewska
1Katedry i Kliniki Endokrynologii Ginekologicznej AM w Poznaniu.
Ginekologia Polska
|August 27, 1999
Summary
Primary amenorrhea, a condition of absent menstruation, can be caused by hydrocephalus. Treating hydrocephalus with a ventriculo-peritoneal shunt successfully restored regular menstrual cycles in a patient.
Area of Science:
- Neurology
- Gynecology
- Pediatrics
Background:
- Primary amenorrhea is a significant gynecological concern in adolescent females.
- Hydrocephalus, an excess of cerebrospinal fluid in the brain's ventricles, can present with varied neurological symptoms.
- The relationship between hydrocephalus and endocrine-related menstrual dysfunction is not widely established.
Observation:
- A patient presented with primary amenorrhea, prompting an investigation into potential causes.
- Diagnostic imaging, specifically computer tomography, revealed the presence of hydrocephalus.
Findings:
- The patient was diagnosed with persistent communicating hydrocephalus as the cause of her primary amenorrhea.
- Following the surgical implantation of a ventriculo-peritoneal valve, the patient experienced a resolution of her amenorrhea.
Implications:
- This case highlights a rare but significant association between hydrocephalus and primary amenorrhea.
- Cerebrospinal fluid dynamics and their impact on the hypothalamic-pituitary-ovarian axis warrant further investigation in cases of unexplained amenorrhea.
- Ventriculo-peritoneal shunting may be an effective treatment for primary amenorrhea secondary to hydrocephalus.