Plasma Vasopressin, Cortisol, and Growth Hormone Concentrations in Relation to Surgery in the Suprasellar Region
Autor: | Per Soelberg Sørensen, John Riishede, Jörgen Lindholm, Mogens Hammer |
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Rok vydání: | 2009 |
Předmět: |
Adenoma
Adult Male endocrine system medicine.medical_specialty Vasopressin Hydrocortisone Vasopressins medicine.medical_treatment Skull Neoplasms Adrenocorticotropic hormone Pituitary neoplasm Peptide hormone Anterior pituitary Internal medicine Internal Medicine medicine Humans Pituitary Neoplasms Sella Turcica business.industry Osmolar Concentration Pituitary tumors Middle Aged medicine.disease Surgery Steroid hormone medicine.anatomical_structure Endocrinology Growth Hormone Female Meningioma business hormones hormone substitutes and hormone antagonists medicine.drug |
Zdroj: | Acta Medica Scandinavica. 216:31-39 |
ISSN: | 0001-6101 |
DOI: | 10.1111/j.0954-6820.1984.tb03767.x |
Popis: | Posterior and anterior pituitary functions were assessed in 8 patients before, during, and after surgery for tumors in the suprasellar region. Preoperatively, all patients but one responded adequately to an osmotic stimulus with a rise in plasma vasopressin (AVP) and all but one showed adequate cortisol response to adrenocorticotropic hormone (ACTH) and hypoglycemia. During surgery a transient rise was seen in plasma levels of AVP (5 out of 8 patients), cortisol (7 out of 8 patients) and growth hormone (4 out of 8 patients). This response could be predicted from the preoperative stimulation tests. Postoperatively the AVP response to osmotic stimuli was impaired in 4 out of 5 patients, although urine volume had returned to normal after a transient polyuric phase. The response of plasma cortisol to ACTH was still adequate but lower than preoperatively. |
Databáze: | OpenAIRE |
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