EVALUATION OF ANTERIOR-PITUITARY FUNCTION IN ADULT PATIENTS WITH CRANIOPHARYNGIOMAS

被引:17
作者
BARRECA, T
PERRIA, C
FRANCAVIGLIA, N
ROLANDI, E
机构
[1] UNIV GENOA, CHAIR MED PATHOL, I-16126 GENOA, ITALY
[2] UNIV GENOA, NEUROSURG CLIN, I-16126 GENOA, ITALY
关键词
D O I
10.1007/BF01401321
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
Serum LH [luteinizing hormone] FSH, TSH, PRL [prolactin], GH [growth hormone] and cortisol levels were measured in 10 patients with a craniopharyngioma both before and after a combined insulin-induced hypoglycemia, GnRH [gonadotropin releasing hormone] and TRH test. In preoperative studies, only 2 patients did not show hormonal abnormalities, while 8 patients had deficiencies of 1 or more hormones. The most frequent abnormality was GH deficiency (6 cases), followed by gonadotropin (4 cases), cortisol (4 cases) and TSH (1 case), whereas 4 patients showed high serum PRL values. In post-surgical studies a significant improvement of pituitary function was observed in 2 cases, whereas an impairment of previously normal corticotropin reserve was recorded in another case. The data suggest that endocrine abnormalities in patients with craniopharyngiomas are irreversible in most cases.
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页码:263 / 272
页数:10
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