Pituitary Tumours
Symptoms:
Headache (intracranial pressure)
Drowsiness
Seizure
Visual defects (pressure on optic chiasm)
Abnormal hormone secretion
Abnormal hormone secretion
:
Hyperprolactinemia
Most common type of pituitary tumour - excess prolactin release
Galactorrhea
Amenorrhea
Adrenocorticotropic hormone(ACTH)
Cushings disease
Growth Hormone (GH)
Gigantism (prepubertal)
Acromegaly (postpubertal)
These tumours can destroy pituitary gland:
Compression compromises vascular supply
Panhypopituitaryism
- entire hopothalamic-pituitary affected - all of these hormones
Sheehans syndrome
-Another cause of panhypopituitaryism
-Vascular collapse following an obstetrical hemorrhage
Pituitary stalk transection
- commonly caused by motor vehicle accidents MVA
- get Panhypopiuitaryism,. except prolactin hormone (PRL) is elevated
Treatment for Hormone Deficiency
Treatment for Hormone excess
Hormone replacement
Multiple hormones given for panhypopituitaryism
Inhibitory drug therapy
Ex. Bromocryptine for hyperprolactinemia
Ablation therapy
Surgical removal of lesion, leaving gland intact