Arachnoid Cyst Manifesting as Panhypopituitarism in the Setting of Septic Shock

Pituitary cystic sellar masses typically present with symptoms of headache and visual impairment Endocrinologic manifestations are less common. We describe a case of a sixty-two year-old female who presented with altered mental status. She initially appeared to be in septic shock but was also found to have panhypopituitarism secondary to an arachnoid cyst. This case highlights the diagnostic workup of panhypopituitarism in the emergent setting, and demonstrates how this diagnosis maybe masked by other clinical entities.