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Related Concept Videos

Drug Therapy01:28

Drug Therapy

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The advent of drug therapy has profoundly shaped modern mental health care, providing targeted treatments for a range of psychological disorders. Psychotherapeutic drugs, classified into antianxiety, antidepressant, and antipsychotic medications, address symptoms across anxiety disorders, mood disorders, and schizophrenia. While these medications have transformed patient outcomes, they require careful management due to their potential side effects and limitations.
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Without prolonged fasting, healthy individuals maintain blood glucose levels above 3.5 mM due to a well-adapted neuroendocrine counterregulatory system that effectively prevents acute hypoglycemia, a potentially life-threatening condition. The primary clinical scenarios for hypoglycemia encompass diabetes treatment, inappropriate production of endogenous insulin or insulin-like substances by tumors, and the use of glucose-lowering agents in non-diabetic individuals. Notably, hypoglycemia in the...
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The therapy for diabetes aims to alleviate hyperglycemia-related symptoms, prevent acute metabolic decompensation, and reduce chronic end-organ complications. Glycemic control is evaluated through short-term (self-monitoring, continuous glucose monitoring) and long-term (A1c, fructosamine) metrics, enabling near real-time tracking of blood glucose levels and reflecting glycemic control over specific time frames.
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Parkinson's Disease: Treatment01:24

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Major Hormones and Their Functions01:27

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Related Experiment Video

Updated: Apr 15, 2026

Endoscopic Endonasal Trans-sphenoidal Approach: Minimally Invasive Surgery for Pituitary Adenomas
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[Akromegaly and pharmacotherapy].

Helena Šiprová, Miroslav Souček

    Vnitrni Lekarstvi
    |March 28, 2015
    PubMed
    Summary

    This case study shows that a combination therapy of surgery, radiation, and medication can effectively manage acromegaly, even in advanced stages. Long-term stabilization was achieved, allowing the patient to live contentedly for 10 years.

    Area of Science:

    • Endocrinology
    • Neurosurgery
    • Radiation Oncology

    Background:

    • Acromegaly is a rare, serious endocrine disorder caused by excess growth hormone (GH).
    • Effective management typically involves a multimodal approach including surgery, radiotherapy, and pharmacotherapy.
    • Early diagnosis is crucial, as advanced stages present significant treatment challenges.

    Observation:

    • This article details a challenging case of acromegaly diagnosed late, precluding complete surgical removal of the pituitary adenoma.
    • The patient underwent multiple surgical interventions (transsphenoidal and transcranial) and radiotherapy (linear accelerator and Gamma Knife).

    Findings:

    • Long-term disease stabilization was achieved through a combination of repeated surgeries, radiotherapy, and pharmacotherapy.

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  • Pharmacotherapy included a somatostatin analog (octreotide) and a GH receptor antagonist (pegvisomant), with dosages adjusted based on Insulin-like Growth Factor 1 (IGF1) levels.
  • The patient has maintained a good quality of life for 10 years on contemporary treatments: Sandostatin LAR 30 mg every 3 weeks and Somavert 20 mg daily.
  • Implications:

    • This case highlights the feasibility of achieving long-term acromegaly control even with initially unresectable tumors.
    • Multimodal therapy, including advanced radiotherapy and targeted pharmacotherapy, offers a viable strategy for managing complex acromegaly cases.
    • The therapeutic approach, while intensive, was deemed ethically reasonable regarding cost-effectiveness.