08 August 2020
: Case report 
Full Remission of Long-Term Premenstrual Dysphoric Disorder-Like Symptoms Following Resection of a Pituitary Adenoma: Case Report
Unusual clinical course, Unusual or unexpected effect of treatment
Guangrong Lu1ABCDEF*, Tiana M. Shiver2BDE, Spiros L. Blackburn1BDE, William C. Yao3BDE, Meenakshi B. Bhattacharjee4BDE, Jay-Jiguang Zhu1ABDEDOI: 10.12659/AJCR.922797
Am J Case Rep 2020; 21:e922797
Table 2. Summary of symptoms during the 28 months follow up post-TSS.
| Months | Menstrual cycle post-TSS in days* | Symptoms** | Medication | Notes |
|---|---|---|---|---|
| 1 | ||||
| 2 | 34 | |||
| 3 | 31 | |||
| 4 | 35 | Chest tightness, anxiety | After coffee | |
| 5 | 28 | Chest tightness | ||
| 6 | 31 | Chest tightness | ||
| 7 | 26 | Chest tightness, anxiety | Vortioxetine 5 mg (2 weeks only) | |
| 8 | 28 | |||
| 9 | 32 | Chest tightness, anxiety | Fear after watching a scary movie trailer | |
| 10 | 35 | |||
| 11 | 24 | Anxiety | After coffee | |
| 12–18 | 27–32 | |||
| 19 | 29 | Anxiety | After a red-eye domestic flight | |
| 20–28 | 28–32 | |||
| * Menstrual cycle (days) is calculated by counting the days from Day 1 of one cycle to the next; ** these symptoms occurred randomly, without any relationship to the patient’s menses and were less severe than her symptoms prior to TSS; *** no data on previous period prior to her TSS. First period started 19 days after surgery, which was on 12/28/2017. TSS – transsphenoidal surgery. | ||||