- Hyperpituitarism
Hyperpituitarism is the result of excess secretion of adenohypophyseal trophic
hormones most commonly by a functionalpituitary adenoma . Other causes are hyperplasias and carcinomas of the adenohypophysis, secretion by non-pituitary tumours and certain hypothalamic disorders.Clinical manifestations
Depending on the cell type(s) affected, clinical manifestations of hormone excess may include:
*Hyperprolactinaemia
*Cushing's disease
*Precocious puberty
*Gigantism orAcromegaly
*Hyperthyroidism (rare)Associated conditions
When there is an enlargement of the pituitary tissue, hyperpituitarism is often associated with:
*Visual field defects, classically bitemporal hemianopia
*Radiographic abnormalities of thesella turcica , such as sellar expansion, bony erosion and disuption of thediaphragma sellae
*Increased intracranial pressureymptoms
Symptoms caused by hormone excess and associated mass effects include:
*Headache
* Visual field loss orDouble vision
*Excessive sweating
*Hoarseness
* Milk secretion frombreast
*Sleep apnea
*Carpal tunnel syndrome
*Joint pain and limitation of motion
*Muscle weakness
*Numbness ortingling of skin
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