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Case Records of the Massachusetts General Hospital
Weekly Clinicopathological Exercises
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Volume 331:861-868 September 29, 1994 Number 13
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Case 36-1994— A 49-Year-Old Man with Hypopituitarism, Multifocal Neurologic Defects, and an Intracranial Mass
Martin A. Samuels, and Suzanne de la Monte

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Presentation of Case

A 49-year-old man was admitted to the hospital because of the finding of an intracranial mass.

The patient had been well until six months earlier, when impotence developed, with absence of morning erections and diminished libido. He became fatigued and required more sleep, with decreased endurance of physical activity and cold intolerance. Two months before admission he began to experience nocturnal thirst and nocturia. Six weeks before admission he began to have increasing headaches at the vertex and occiput. He noticed that his hearing was diminished, especially on the right side, his gait became more unsteady than usual, and his . . . [Full Text of this Article]

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Dr. Martin A. Samuels's Diagnosis

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