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Pituitary Surgery. Postoperative Followup.
From Lewis S Blevins, Jr. MD – All too often, I see patients who come to the clinic with devastating recurrences of their pituitary tumors. For example, the accompanying MRI depicts a recurrent pituitary tumor in
Prolactinoma: Indications for surgery.
From Lewis S Blevins Jr., MD – Although dopamine agonist drugs are available to treat prolactinomas I believe some patients with these tumors are probably best treated surgically. Of course, surgery should be performed by
Think different
First, I know “think different” is bad grammar as it should be “think differently”, but it really says it, doesn’t it? A few years ago, 1998 to be exact, Apple, Inc., (the then computer company)
Growth Hormone Deficiency
From Lewis Blevins, MD Introduction Growth Hormone is a peptide hormone produced by the anterior pituitary gland. Growth hormone-releasing hormone from the hypothalamus stimulates it’s release while somatostatin from the hypothalamus inhibits GH. Somatostatin is
The Sella Turcica
Headaches in Patients with Pituitary Tumors
Diabetes Insipidus: A few clinical pearls
From Lewis Blevins. MD – Polyuria in the setting of thirst and increased water intake, with a dilute urine, and a high or high normal serum sodium (>141-142 mEq/L) is usually recognizable as DI. Some
Prolactinoma and Visual Field Deficits.
From Lewis Blevins, MD – These images show the serial visual fields in a patient with a pituitary tumor. The blackened parts illustrate what the patient CANNOT see as if they were our very
Empty Sella Syndrome
From Lewis Blevins, MD – Empty sella syndrome as a misnomer for the sella is not empty. It is usually filled with spinal fluid. Furthermore, a true syndrome does not exist. An empty sella
Nonfunctional Pituitary Adenomas
From Lewis Blevins, MD – We really shouldn’t call them nonfunctional pituitary adenomas. They are living tissue and thus “functioning.” The term comes from the fact that they are not producing any hormones in excess
One in Five …One in Eight. Who cares! One person not diagnosed is one too many.
From J D Faccinetti – There are several expert sources that have focused research on the prevalence of pituitary tumors. Estimates on these studies varied from as high as 30 percent to as low
Testosterone
From Lewis Blevins, MD – Photo from The Huffington Post – Testosterone use in men has been “associated” with cardiovascular risk. In my opinion, this is because men with cardiovascular disease, who are obviously sick,