Regression of the Forbes-Albright syndrome after pituitary apoplexy.

McLaren, E H; Keet, P. C.

doi:10.1136/bmj.2.5860.214

Cited by 8 publications

(3 citation statements)

References 6 publications

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“…Patients with acromegaly (3), the Forbes-Albright syndrome with hyperprolactinemia (7), and pituitary-dependent Cushing's syndrome (8) have all been reported to develop remission of their endocrinopathy after clinical tumor necrosis. Such patients have usually developed transient or permanent hypofunction of the anterior pituitary after the episode (9).…”

Section: Discussionmentioning

confidence: 99%

Silent Pituitary Apoplexy: Subclinical Infarction of an Adrenocorticotropin-Producing Pituitary Adenoma&

Findling

Tyrrell

Aron

et al. 1981

The Journal of Clinical Endocrinology & Metabolism

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A young woman developed intermittent headaches and progressive hyperpigmentation after bilateral adrenalectomy for Cushing's disease. Results of sellar polytomography were abnormal. Her plasma ACTH levels increased to 4750-7340 pg/ml and did not rise with insulin-induced hypoglycemia. Although she experienced no clinical features associated with spontaneous infarction of a pituitary tumor, plasma ACTH levels fell to 474-575 pg/ml, and hemorrhagic necrosis was found in a 5-mm chromophobe adenoma at transsphenoidal surgery. Postoperatively, ACTH levels returned to normal (51-88 pg/ml), with the rest of her anterior pituitary function remaining intact 4 yr later. Spontaneous infarction of pituitary microadenomas may be subclinical, resulting in improvement of pituitary hormone hypersecretion without impairment of other anterior pituitary hormone secretion.

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Section: Discussionmentioning

confidence: 99%

Silent Pituitary Apoplexy: Subclinical Infarction of an Adrenocorticotropin-Producing Pituitary Adenoma&

Findling

Tyrrell

Aron

et al. 1981

The Journal of Clinical Endocrinology & Metabolism

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show abstract

“…These facts suggested that hypopituitarism was not present or was partially, if any, before the attack. It has been well recognised that a permanent or transient hypopituitarism including DI may occur with pituitary apoplexy (Brougham eI al., 1950;Taylor et al, 1968;Epstein t al., 1971;Jacobi et al, 1974) and that in some cases of acromegaly and ForbesAlbright syndrome (Forbes et al, 1954), the regression of the disease was observed after apoplexy (Taylor et al, 1968;McLaren et al, 1973;Jacobi et al, 1974). However, it has scarecely been reported that systematic evaluations of the pituitary Vol.25,No.3 PITUITARY APOPLEXY function using synthetic hypothalamic hormones, TRH and LHRH, and direct measurements of several trophic hormones were performed successively during the spontaneous recovery course.…”

Section: Discussionmentioning

confidence: 99%

A case of pituitary apoplexy with spontaneous recovery.

Kasai¹,

Suzuki²,

Nakamura³

et al. 1978

Endocrinol Japon

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“…Результаты исследований, посвященных влиянию гормональной активности на нейроэндокринное восстановление больных с питуитарной апоплексией, прослеживаются в различных зарубежных работах с 1973 г. Первые попытки такой оценки отмечены в описанном клиническом случае E. H. McLaren и P. C. Keet (1973), посвященному положительной нейроэндокринной динамике у больной с синдромом Форбса-Олбрайта в сочетании с питуитарной апоплексией [21].…”

Section: Dynamic Changes In Hormonal Activity In Patients With Pituit...unclassified

Prolactin as a predictor of neuroendocrine recovery after transsphenoidal tumor removal in patients with pituitary apoplexy

Kurnukhina,

Ashryapova,

Semina

et al. 2022

The Scientific Notes of the Pavlov university

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Introduction. The risk of pituitary apoplexy is 5.4 times higher than the risk of hemorrhage into another intracranial tumor. Despite the fact that in 80 % of cases, hemorrhage into the pituitary adenoma is the first manifestation of the disease, the issues of neuroendocrine recovery, evaluation of the results of surgical treatment are insufficiently studied at present.Methods and materials. A clinical study of 72 patients with histologically confirmed diagnosis of pituitary adenoma was conducted. According to MRI of the brain with intravenous contrast, neuroimaging signs of pituitary apoplexy were found in all the studied patients. The studied patients were aged from 28 to 55 years, the average age of patients was 48.9±15.25 years (median 49 years). All the examined patients underwent surgical treatment – transsphenoidal endoscopic removal of pituitary adenoma; there were no emergency indications for surgical treatment among the examined patients. In the preop- erative and late postoperative periods, the relationship between the values of prolactin and other pituitary hormones with the parameters of neuroendocrine recovery was evaluated.Results. In patients with recurrent pituitary adenoma and pituitary apoplexy, suprasellar (χ2=8; r=0.005) and laterosellar growth (χ2=3.92; r=0.048) are significantly less common; reduced prolactin and ACTH values are more often detected after surgical treatment (p<0.05). It was revealed that with preoperative increased prolactin indices, general cerebral symptoms (r=–1; p=0) and visual disturbances (r=–0.982; p=0.28) are less common after surgery. In patients with ACTH-secreting pituitary adenoma after apoplexy, the totality of removal of Near Complete Gross Resection was more often observed (r=0.382; p=0.004).Conclusion. In patients with pituitary apoplexy before surgery, an increased prolactin index is one of the markers of regression of hypopituitary disorders in the postoperative period.

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Regression of the Forbes-Albright syndrome after pituitary apoplexy.

Cited by 8 publications

References 6 publications

Silent Pituitary Apoplexy: Subclinical Infarction of an Adrenocorticotropin-Producing Pituitary Adenoma&

Silent Pituitary Apoplexy: Subclinical Infarction of an Adrenocorticotropin-Producing Pituitary Adenoma&

A case of pituitary apoplexy with spontaneous recovery.

Prolactin as a predictor of neuroendocrine recovery after transsphenoidal tumor removal in patients with pituitary apoplexy

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