An unusual case of hypopituitarism

Abstract

A 14-year-old boy presented to the trauma unit at our tertiary hospital after sustaining a gunshot wound to the left eye. Clinical examination showed that he was alert and haemodynamically stable, but blind in the left eye, with no CSF rhinorrhoea. His pubertal status (Tanner stage S3) and height (1·7 m, 75th percentile) were appropriate for his chronological age. Skull radiography and a CT scan of the brain (figure) both showed that the projectile was lodged in the sella turcica. Digital subtraction angiography excluded injury of the major cerebral vessels.