case_images: PMC10963601_01
case_images: A 1 cm intracranial hemorrhage (ICH) in the right cerebellar peduncle was detected on a non-contrast brain CT scan (left) and brain MRI (right).
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case_images: However, a non-contrast brain computed tomography (CT) revealed a 1 cm ICH in his right cerebellar peduncle (Figure 1).
case_images: Diagnostic approach to suspected adrenal insufficiency (algorithm from UpToDate: diagnosis of adrenal insufficiency in adults).
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case_images: To assess the proper functioning of the HPA axis, a 250-microgram ACTH stimulation test was conducted, with algorithm shown in Figure 2.
case_images: The patient's plasma ACTH and cortisol levels were monitored from initial diagnosis of adrenal insufficiency (6 months after cerebellar ICH) to his discharge (12th month). ACTH: adrenocorticotropic hormone; reference range: 10-60 pg/mL; cortisol: 5-25 mug/dL.
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case_images: Treatment was initiated using oral prednisone at a daily dose of 5 mg for the patient, and his clinical symptoms were evaluated regularly, with morning plasma ACTH and monthly cortisol level measurements (Figure 3).