Assessment of cognitive function, mood and quality of life in hypopituitary patients after pituitary adenomectomy with or without radiotherapy

Petry, Carolina; Rios, Maria Carolina; Leães, Carolina García Soares; Pereira-Lima, Julia Fernanda Semmelmman; Oliveira, Miriam da Costa

doi:10.5812/kowsar.1726913x.2597

Cited by 5 publications

(1 citation statement)

References 33 publications

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“…Endocrinologic abnormalities, including those of the pituitary, are known to be associated with psychiatric symptoms [ 5 ]. When comparing treatments of pituitary adenomas, quality-of-life measures in patients who receive radiation therapy show greater depression severity and deficits in social relationships compared to those of patients who do not undergo radiation [ 6 ]. Studies also show that anxiety, depression, substance use, and other psychiatric symptoms may flare in the postoperative period [ 7 ].…”

Section: Discussionmentioning

confidence: 99%

Occult Untreated Alcohol Use Disorder in a Patient with Recurrent Pituitary Macroadenoma

Rowe

Balasanova

2022

Case Reports in Psychiatry

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Alcohol use disorder (AUD) is a chronic relapsing and remitting psychiatric condition associated with adverse health outcomes. Although common, AUD is underdiagnosed, and treatment is often overlooked. At times of increased risk, such as the postoperative period, it is imperative to screen for and treat AUD to improve patient outcomes. Psychiatrists can play an important role in addressing AUD in this patient population through addiction psychiatry consultation services. We present the case of a patient with occult alcohol use disorder (AUD) leading to hospitalization in the setting of depressive mood symptoms and personality changes after a repeat pituitary macroadenoma resection and radiation five months earlier. AUD was noted months prior to hospitalization but was not addressed despite regular interactions with the healthcare system. Evaluation by addiction psychiatry specialists during hospitalization prompted recognition and treatment of AUD, resulting in cessation of alcohol use and resolution of mood symptoms and personality changes. The patient was discharged 3 days after admission and maintained abstinence from alcohol at two months postdischarge without recurrence of psychiatric symptoms.

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Section: Discussionmentioning

confidence: 99%

Occult Untreated Alcohol Use Disorder in a Patient with Recurrent Pituitary Macroadenoma

Rowe

Balasanova

2022

Case Reports in Psychiatry

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Pituitary adenomas and neuropsychological status: a systematic literature review

et al. 2019

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A prospective study of the cognitive and psychiatric effects of pituitary tumours and their treatments

Marsh

Guinan

Shah

et al. 2020

Journal of Clinical Neuroscience

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Assessment of cognitive function, mood and quality of life in hypopituitary patients after pituitary adenomectomy with or without radiotherapy

Abstract: There is a lack of clinical studies and reviews specifically evaluating the role of surgical hypopituitarism and radiotherapy in the HQOL, mood, and cognitive function of patients.

Cited by 5 publications

References 33 publications

Occult Untreated Alcohol Use Disorder in a Patient with Recurrent Pituitary Macroadenoma

Occult Untreated Alcohol Use Disorder in a Patient with Recurrent Pituitary Macroadenoma

Pituitary adenomas and neuropsychological status: a systematic literature review

A prospective study of the cognitive and psychiatric effects of pituitary tumours and their treatments

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