The most common problem with the pituitary gland occurs when a benign tumour (used to describe a ‘growth’) also called an adenoma, develops. Show
Pituitary tumours are not 'brain tumours'. The term benign is used by doctors to describe a swelling which is not cancerous. Other causes of pituitary disordersPituitary dysfunction in traumatic brain injuryTraumatic brain injury accounts for approximately 10% of patients attending the accident and emergency department and occurs in about 200-450 people per 100,000 of the population. Head injuries vary in severity and can have a number of consequences beyond the initial accident. These involve problems with cognition, seizures, gastrointestinal, cardiovascular, and musculoskeletal problems and also neuroendocrine dysfunction. ‘Neuroendocrine’ means problems with the endocrine (or hormone) system that originate from the brain possibly the pituitary gland or hypothalamus. Neuroendocrine problems are mainly due to pituitary dysfunction. These can be due to alteration in the acute phase (first few hours and days), with temporary changes in blood hormone levels. These early changes usually correct with time and post injury medical management. There is also evidence that long-term neuroendocrine dysfunction resulting from permanent damage at pituitary or hypothalamic level can occur during a traumatic brain injury. A number of trials worldwide have looked at this issue and there is no clear consensus in the medical literature how common pituitary or hypothalamic dysfunction occurs, in patients following traumatic brain injury. It is observed, that it is more common in severe traumatic brain injury. As traumatic brain injury is common, but pituitary dysfunction following this is a rare but serious consequence, we would advise that you contact your GP if you have any concerns and experience some of the following symptoms:
Your GP may consider referral to an Endocrinologist if appropriate. For information and support for Traumatic Brian Injury visit www.headway.org.uk Pituitary InfarctionIf the blood supply to the pituitary is restricted, the gland tissue can die resulting in hypopituitarism. Infarctions can occur as a result of impaired blood flow to the pituitary gland or head trauma. Sheehan's SyndromeSheehan’s Syndrome is also known as postpartum hypopituitarism, or postpartum pituitary insufficiency that may occur in a woman who has severe uterine haemorrhage during childbirth. The resulting severe blood loss causes tissue death in her pituitary gland and leads to hypopituitarism following the birth. If a woman’s pituitary gland is starved of blood due to her bleeding severely during childbirth, the gland may lose its ability to function properly. Conditions that increase the risk of an obstetric haemorrhage include multiple pregnancies (twins or triplets) and abnormalities of the placenta. Blood tests would establish hormone levels and a scan to rule out other abnormalities of the pituitary such as a tumour. For more information, a factsheet, and patient stories, visit the webpage for our Sheehan's and LH awareness campaign. CraniopharyngiomaThis type of tumour or cystic mass is quite rare and congenital (from birth). It exerts pressure on the hypothalamus which lies just above the pituitary gland and is responsible for releasing hormones that start and stop the release of pituitary hormones. Faster growing craniopharyngiomas affect children whilst slower growing ones affect adults. This type of tumour can cause headaches and vision problems and can affect hunger, thirst and sleep patterns. Onset of puberty and growth hormone production in children can also be affected. Rathkes Cleft CystThe Rathkes pouch eventually forms the pituitary gland and normally closes early in foetal development. A remnant may persist as a cleft that lies within the pituitary gland and occasionally this remnant gives rise to a fluid-filled large cyst called Rathkes Cleft Cyst (RCC). This condition is more usually seen in adults but can occur at any age. Arachnoid Cysts and Cystic Pituitary Adenomas are other rare cyst-like tumours. Empty SellaEmpty Sella Syndrome (ESS) is a disorder that involves the ‘sella turcica’ a bony structure at the base of the brain that surrounds and protects the pituitary gland. ESS would show up on an MRI scan revealing a sella turcica that appears to be empty. There are two types of ESS: primary and secondary. Multiple Endocrine Neoplasia (MEN)MEN syndromes are inherited disorders (passed down in families). The disorder causes more than one gland in the body’s Endocrine system to develop growths. The affected glands may then produce abnormally increased amounts of hormones which in turn cause a variety of different symptoms. Lymphocytic HypophysitisAnother cause of hypopituitarism that may be associated with pregnancy is Lymphocytic Hypophysitis. This is due to inflammation in the pituitary caused by immune cells. The reasons why this occurs is not understood. With modern obstetric practice the occurrence of hypopituitarism after childbirth, though uncommon, is more frequently due to this condition than Sheehan’s Syndrome. For more information, a factsheet, and patient stories, visit the webpage for our Sheehan's and LH awareness campaign. What are the symptoms of a malfunctioning pituitary gland?This causes symptoms such as:. Fatigue.. Weight gain.. Dry skin.. Constipation.. Sensitivity to cold or difficulty staying warm.. What causes pituitary gland failure?A sudden loss of blood can damage your pituitary gland (known as necrosis). This can happen with Sheehan syndrome (severe blood loss after childbirth), sickle cell anemia and diabetes. A subarachnoid hemorrhage (SAH), a kind of stroke usually from a head injury, can also cause pituitary apoplexy.
How do you fix a pituitary gland problem?Surgery or other procedures
You may need periodic CT or MRI scans to monitor a pituitary tumor or other diseases causing hypopituitarism. Treatment for pituitary tumors may involve surgery to remove the growth. In some cases, radiation treatment or medications are recommended to control the underlying cause.
What would happen if your pituitary gland stopped working?Hypopituitarism is an underactive pituitary gland that results in deficiency of one or more pituitary hormones. Symptoms of hypopituitarism depend on what hormone is deficient and may include short height, infertility, intolerance to cold, fatigue, and an inability to produce breast milk.
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