无症状空塞拉综合征:一种"新的"下丘脑病理或准生理变体
Benedetta Masserini1, Benedetta Rivolta1, Irene Bernardi2
1Dirigente Medico, SC Nutrizione Clinica, Diabetologia e Malattie Endocrine, ASST Pavia, Italy.
Endocrine, metabolic & immune disorders drug targets
|July 29, 2024
概括
本案例研究探讨了一名67岁的女性无症状空综合征. 尽管十年来没有治疗下垂体激素缺乏症,但她仍然没有症状,突出了这种疾病的罕见表现.
科学领域:
- 内分泌学 在内分泌学.
- 神经成像是一种神经成像.
- 放射学 放射学是一门学科.
背景情况:
- 空指的是垂体腺体缩小或移位.
- 它可以是初级的 (遗传) 或二次的 (创伤,手术,辐射).
- 虽然50%的患者无症状,但其他人会出现头痛或视力缺陷等症状.
研究的目的:
- 为了检查一种罕见的无症状空综合征病例.
- 讨论与这种疾病相关的诊断和治疗挑战.
主要方法:
- 评估了一名67岁的患有扩张性心肌病的女性患者.
- 磁共振成像 (MRI) 证实了一个空 sella.
- 血液检查显示甲状腺功能低下,上腺功能低下和生长激素 (GH) 缺乏.
主要成果:
- 该患者已知有超过十年的荷尔蒙缺乏病史,没有症状或并发症.
- 尽管有压力和血管手术,她没有经历过上腺危机或严重的甲状腺功能低下症.
- 开始使用激素替代疗法.
结论:
- 无症状空塞拉综合征是罕见的,与荷尔蒙缺乏症的典型表现形成鲜明对比.
- 这种情况表明潜在的下丘脑功能障碍或生理变异.
- 需要进一步的研究来确定最佳的治疗策略.
相关概念视频
Adrenal Gland Disorders
1.4K
Adrenal gland disorders manifest when the production of adrenal hormones deviates from the norm, resulting in either excessive or insufficient concentrations.
Adrenal insufficiency, characterized by insufficient cortisol and aldosterone production, leads to conditions like Addison's disease. This disorder, affecting the adrenal cortex, exhibits symptoms such as skin bronzing, dehydration, low blood pressure, fatigue, and weight loss. Congenital adrenal hyperplasia, a genetic ailment causing...
Adrenal insufficiency, characterized by insufficient cortisol and aldosterone production, leads to conditions like Addison's disease. This disorder, affecting the adrenal cortex, exhibits symptoms such as skin bronzing, dehydration, low blood pressure, fatigue, and weight loss. Congenital adrenal hyperplasia, a genetic ailment causing...
1.4K
Major Hormones and Their Functions
357
Hormones, the biochemical messengers produced by endocrine glands, are pivotal in regulating bodily functions and maintaining homeostasis. Each hormone's balance is crucial; imbalances can lead to significant physiological disruptions. Major hormones include oxytocin, cortisol, epinephrine, estrogen, testosterone, thyroxine, growth hormone, insulin, and glucagon.
Oxytocin, produced in the hypothalamus and released by the pituitary gland, plays a role in social bonding, childbirth, and...
Oxytocin, produced in the hypothalamus and released by the pituitary gland, plays a role in social bonding, childbirth, and...
357
The Pituitary Gland
6.6K
The pituitary is a small endocrine organ in the sphenoid bone under the hypothalamus. Primarily, the pituitary in adults has two distinct anatomical and functional regions— the anterior and posterior lobes. During human fetal development, a third pituitary gland region called the pars intermedia atrophies and disappears. However, some of its cells migrate and exist adjacent to the anterior pituitary in adults.
6.6K
Psychosis: Pathophysiology of Schizophrenia and Other Psychotic Disorders
545
Schizophrenia is a neurodevelopmental disorder whose origins are rooted in complex genetic components. Despite our burgeoning understanding, the pathophysiology of this disorder remains incompletely deciphered.
Researchers have identified genetic factors that increase susceptibility to schizophrenia, underscoring the intricate interplay between genetics and environment in disease development. At the core of schizophrenia's pathophysiology is excessive dopaminergic neurotransmission within...
Researchers have identified genetic factors that increase susceptibility to schizophrenia, underscoring the intricate interplay between genetics and environment in disease development. At the core of schizophrenia's pathophysiology is excessive dopaminergic neurotransmission within...
545
Hypoglycemia and Glucagon
229
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...
229
Negative and Cognitive Symptoms of Schizophrenia
47
Negative symptoms of schizophrenia indicate a reduction or absence of typical behaviors and emotional responses found in healthy individuals, while positive symptoms reflect an excess or distortion of normal functioning.
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
Negative Symptoms
Negative symptoms of schizophrenia manifest as deficits in normal emotional and behavioral functioning, profoundly impacting daily life. Individuals with schizophrenia often display a flat affect, characterized by a near-total absence of emotional expression,...
47


