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The pituitary gland consists of two parts, the anterior (front) and posterior (back) pituitary. Both parts release hormones that control numerous other organs. In pituitary apoplexy, the main initial problem is a lack of secretion of adrenocorticotropic hormone (ACTH, corticotropin), which stimulates the secretion of cortisol by the adrenal ...
One advantage of MRI of the brain over computed tomography of the head is better tissue contrast, [19] and it has fewer artifacts than CT when viewing the brainstem. MRI is also superior for pituitary imaging. [20] It may however be less effective at identifying early cerebritis. [21]
Pituitary gland. The cause of this condition is divided into primary and secondary, as follows: The cause of this condition in terms of secondary empty sella syndrome happens when a tumor or surgery damages the gland, this is an acquired manner of the condition. [1] patients with idiopathic intracranial hypertension will have empty sella on MRI [5]
The pituitary gland or hypophysis is an endocrine gland in vertebrates. In humans , the pituitary gland is located at the base of the brain , protruding off the bottom of the hypothalamus . The human pituitary gland is oval shaped , about 1 cm in diameter, 0.5–1 gram (0.018–0.035 oz) in weight on average, and about the size of a kidney bean .
Another highly successful method of locating a CSF leak is intrathecal contrast and MR Myelography. [24] Contrast-enhanced brain MRI with sagittal reformats can assess for the following: [6] [8] Subdural fluid collections; Enhancement of the meninges; Engorgement of venous structures; Pituitary swelling; Sagging of the brain
Visual fields associated with chiasmal syndrome usually leads to an MRI. Contrast can delineate arterial aneurysms and will enhance most intrinsic chiasmal lesions. [1] If a mass is confirmed on MRI, an endocrine panel can help determine if a pituitary adenoma is involved.
With pituitary adenomas larger than 1 cm, a baseline pituitary hormonal function test should be done, including measurements of serum levels of TSH, prolactin, IGF-1 (as a test of growth hormone activity), adrenal function (i.e. 24 hour urine cortisol, dexamethasone suppression test), testosterone in men, and estradiol in amenorrheic women.
A prolactinoma is a tumor of the pituitary gland that produces the hormone prolactin.It is the most common type of functioning pituitary tumor. [1] Symptoms of prolactinoma are due to abnormally high levels of prolactin in the blood (hyperprolactinemia), or due to pressure of the tumor on surrounding brain tissue and/or the optic nerves.
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