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Updated: Apr 26, 2026
05:52
Handwriting Analysis Indicates Spontaneous Dyskinesias in Neuroleptic Naïve Adolescents at High Risk for Psychosis
Published on: November 21, 2013
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[An unusual leading symptom]
Claudia von Felten1, Stephan Eberhard1
1Berner Klinik Montana, Zentrum für medizinische und neurologische Rehabilitation, Crans-Montana.
Praxis
|August 7, 2014
Summary
A rare case of panhypopituitarism presented with unexplained dyspnea and depression in an elderly male. Endocrine investigation was key to diagnosing this pituitary disorder, resolving the diagnostic mystery.
Area of Science:
- Endocrinology
- Neurology
- Internal Medicine
Background:
- Progressive dyspnea and depression are common symptoms with diverse etiologies.
- Diagnostic challenges arise when initial investigations fail to identify the underlying cause.
Observation:
- An 81-year-old male presented with persistent dyspnea and depression.
- Previous extensive cardiological, pneumological, and neurological workups were inconclusive.
- A stable parasellar meningioma was noted on MRI scans.
Findings:
- Endocrine investigations ultimately revealed panhypopituitarism.
- This pituitary deficiency explained the patient's complex and unusual clinical presentation.
Implications:
- Highlights the importance of considering endocrine disorders in complex cases with non-specific symptoms.
- Underscores the need for comprehensive diagnostic approaches, including hormonal assessments.
- Suggests panhypopituitarism as a differential diagnosis for unexplained respiratory and mood symptoms.
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