case_images: PMC10174326_01
case_images: Flowchart of diagnoses and treatment. GAD, generalized anxiety disorder; MDE, major depressive episode; ECT, electroconvulsive therapy; ACTH, adrenocorticotropic hormone.
case_images: fpsyt-14-1190899-g001.jpg
case_images: PMC10174326_01_fpsyt-14-1190899-g001.jpg
case_images: fig1
case_images: Electroconvulsive therapy and a variety of medications were utilized to treat major depressive episode with nihilistic delusion, as shown in Figure 1.
case_images: Head MRI. On the right side of the pituitary gland, the pituitary microadenoma, appears as a nodular lesion with a hypointense signal on sagittal T1-and coronal T2-weighted pre-enhanced MRI images, and demonstrates delayed hyperenhancement on dynamic sequences.
case_images: fpsyt-14-1190899-g002.jpg
case_images: PMC10174326_01_fpsyt-14-1190899-g002.jpg
case_images: fig2
case_images: After presenting to the Department of Endocrinology, the patient underwent an enhanced MRI of the head and found a microadenoma 0.3 cm in diameter to the right side of the lower pituitary gland, as shown in Figure 2.
case_images: Trajectories of cortisol and ACTH. ACTH, adrenocorticotropic hormone. CK, creatine kinase.
case_images: fpsyt-14-1190899-g003.jpg
case_images: PMC10174326_01_fpsyt-14-1190899-g003.jpg
case_images: fig3
case_images: The trajectories of serum cortisol, ACTH, and creatine kinase are shown in Figure 3.