• 제목/요약/키워드: Pituitary

검색결과 641건 처리시간 0.024초

Predicting Arachnoid Membrane Descent in the Chiasmatic Cistern in the Treatment of Pituitary Macroadenoma

  • Ko, Hak Cheol;Lee, Seung Hwan;Shin, Hee Sup;Koh, Jun Seok
    • Journal of Korean Neurosurgical Society
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    • 제64권1호
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    • pp.110-119
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    • 2021
  • Objective : Preoperative prediction of the arachnoid membrane descent in pituitary surgery is useful for achieving gross total removal and avoiding cerebrospinal fluid leakage resulting from tearing of the arachnoid membrane in the chiasmatic cistern. In this study, we analyzed the patterns of arachnoid membrane descent during or after pituitary tumor surgery and identified the factors related to this descent. Methods : Analysis was restricted to pituitary macroadenomas not extending into the third ventricle or over the internal carotid artery. To minimize confounding factors, patients who underwent revision surgery, those who had a torn arachnoid during operation or small medial diaphragma sellae (DS) opening, and subtotal resections were excluded. We enrolled 41 consecutive patients in this retrospective analysis. The degree of arachnoid descent was categorized using intraoperative videos. Preoperative magnetic resonance findings, including tumor height, suprasellar extension, and variables including DS area and medial opening size, tumor composition, and displacement of the pituitary stalk and gland were evaluated to determine their correlations with arachnoid membrane descent. Results : Arachnoid membrane descent was significantly correlated with DS area and medial opening size. Based on T2-weighted images (T2WI) magnetic resonance (MR) images, tumor composition was significantly associated with arachnoid membrane descent. Other factors were not significantly correlated with arachnoid membrane descent. Conclusion : T2WI of tumor composition and preoperative MR imaging of DS area and medial opening provided valuable information regarding arachnoid membrane descent. These parameters may serve as fundamental measures to facilitate complete resection of pituitary macroadenomas.

무균성 수막염으로 발현한 흔하지 않은 뇌하수체졸중 (A Case of Unusual Pituitary Apoplexy Presented as Aseptic Meningitis)

  • 박강민;김연미;김시은;신경진;하삼열;박진세;김성은
    • Annals of Clinical Neurophysiology
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    • 제15권1호
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    • pp.24-26
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    • 2013
  • We encountered a case of pituitary apoplexy who presented with isolated headache and vomiting without visual disturbance or ophthalmoplegia. The cerebrospinal fluid examination was compatible with aseptic meningitis. A computed tomography revealed slightly high density in the pituitary fossa and suprasella area, but the signal change was very faint. Our case suggests that clinicians should take into account the possibility of pituitary apoplexy without visual disturbance or ophthalmoplegia, when aseptic meningitis is suspected.

Variations of Gonadotropin Subunits mRNA Levels at Different Stages of Ovarian Development in Masu Salmon, Oncorhynchus masou

  • Kim Dae-Jung;Han Chang-Hee;Aida Katsumi
    • Fisheries and Aquatic Sciences
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    • 제2권2호
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    • pp.176-181
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    • 1999
  • The variations of gene expression and pituitary contents of GTH subunits during the ovarian development of masu salmon, Oncorhynchus masou, were investigated. The pituitary GTHs contents was measured by radioimmunoassays (RIAs) using purified GTH subunits and their antibodies. Pituitary contents of GTH $I\beta$ gradually increased from April through August, and reached the maximum in October. On the other hand, pituitary contents of GTH $II\beta$ remained low until August, but they rapidly increased in October. Total RNAs were prepared from pooled pituitaries and the GTH subunits mRNA in pituitaries was quantified by Northern blot hybridization using masu salmon cDNA probes for each GTH subunit. GTH $I\beta$ mRNA level increased with the progression of ovarian maturity. However, GTH $II\beta$ mRNA was detected only at a more advanced stage, and were extremly high at ovulation. A high levels for GTH a mRNA was detected only at ovulation stage. The synchronous increase in pituitary contents and mRNA levels suggested that ovarian maturity in masu salmon was regulated by both GTH I and GTH II.

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Isolation of cDNAs for Gonadotropin-II of Flounder (Paralichthys olivaceus) and Its Expressions in Adult Tissues

  • Lee, Jae-Hyung;Nam, Soo-Wan;Kim, Young-Tae
    • Journal of Microbiology and Biotechnology
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    • 제13권5호
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    • pp.710-716
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    • 2003
  • Gonadotropin (GTH) is a pituitary glycoprotein hormone that regulates gonadal development in vertebrates. In teleosts, two types of gonadotropins, GTH-I and GTH-II, are produced in the pituitary, and they comprised of common ${\alpha}$ and distinct ${\beta}$ subunits. In the present study, the cDNAs encoding GTH ${\alpha}\;and\;GTH-II{\beta}$ subunits were cloned and sequenced from flounder (Paralichthys olivaceus) pituitary cDNA library. The nucleotide sequence of the a subunit was 619 bp long, encoding 124 amino acids, and that of the $GTH-II{\beta}$ subunit was 538 bp long, encoding 145 amino acids. GTH subunits had well conserved cysteines, when aligned with other members of the glycoprotein family. The ${\beta}$ subunit of gonadotropin II ($GTH-II{\beta}$) had a different N-linked glycosylation site. RT-PCR analysis showed an increase of GTH II mRNA levels in association with gonadal development, and also showed that the mRNA expression of the ${\alpha}$ subunit was detected only in tissues from pituitary glands.

체외순환 없이 시행한 관상동맥 우회로 조성술 후 부신성 위기 (Adrenal Crisis after Off-pump Coronary Artery Bypass Surgery)

  • 최용선;류상완;홍성범;정명호;김상형;안병희
    • Journal of Chest Surgery
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    • 제37권7호
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    • pp.601-605
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    • 2004
  • 부신성 위기라 불리는 Addisonian crisis는 스트레스 호르몬의 일종인 cortisol이 분비되어야 하는 상황에서 정상적으로 분비되지 못함으로써 발생한다. 뇌하수체 선중은 기존에 있던 뇌하수체 선종이 어떤 원인에 의해 출혈성 또는 허혈성 변성에 의해 발생하는 것으로 알려져 있으며 심혈관계 수술에 있어 매우 드문 합병증이다. 더구나 심혈관제 수술에서 발생하는 대부분의 뇌하수체 졸중은 체외순환과 연관이 있는 것으로 알려져 있다. 본 증례는 체외순환 없이 시행한 관상동맥 우회로 조성술 후에 뇌하수체 졸중이 발생한 경우로 처음 보였던 여러 증상이 마치 폐혈성 쇼크와 유사하여 진단이 늦어지게 되었다. 그러나 일단 진단이 된 후에는 스트레스 용량의 부신 호르몬을 투여함으로써 급격한 증상 호전을 보였다.

PMS 처리한 미성숙 쥐의 腦下垂體 排卵호르몬에 미치는 卵巢스테로이드의 影響 (The Role of Ovarian Steroids on Pituitary Ovulating Hormone in PMS-treated Immature Female Rats)

  • Ryu, Kyungza
    • 한국동물학회지
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    • 제19권1호
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    • pp.7-14
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    • 1976
  • 본인은 생후 24일 된 쥐에 PMS와 더불어 estradiol을 처리하면 排卵이 예정보다 24시간 앞당겨 일어남을 보고한 바 있다. 본 실험은 이의 계속 연구로 腦下垂體前葉에서 분비되는 preovulatory LH surge가 PMS 처리 후 51$\\sim$56시간에 일어남을 보았다. 그러나 estradiol을 PMS와 동시에 처리하면 예정보다 24시간 단축된다. 卵巢를 제거한 쥐에 0, 24, 48시간에 $2.5\\sim 40\\mu g$의 estradiol을 처리하면 51$\\sim$56시간에 腦下垂體의 LH가 증가되지 않는다. 그러나 estradiol을 처리하고 이어 48시간에 1mg의 progesterone을 처리하면 卵巢를 제거한 쥐에서도 腦下垂體의 LH level은 증가된다. 본 실험의 결과로 estradiol처리가 PMS로 유도한 排卵을 24시간 앞당기는 사실은 estrogen이 progesterone과 길항작용으로 腦下垂體에서 LH분비를 24시간 앞당겨 일으키고, 따라서 排卵도 24시간 단축되는 것이라고 생각된다.

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인삼(人蔘) Saponin이 Prolactin 분비(分泌)에 미치는 효과(效果) (The Effects of Ginseng Saponin on Prolactin Secretion in Rats)

  • 백덕우;이서윤;지형준
    • 생약학회지
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    • 제9권1호
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    • pp.33-39
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    • 1978
  • The present study is involved with the prolactin secretion from anterior pituitary gland by ginseng saponin since it was handled down by tradition that ginseng might influence the milk secretion when it was given to nursing mother. To investigate the effect of saponin on the prolactin production or release from the anterior pituitary gland, cell culture study and whole animal studies were carried out. For the cell culture study, enzymatically dispersed anterior pituitary cells of rat anterior pituitary gland in HEPES buffers containing trypsin were used. Ginseng saponin was added to the culture media and the amount of prolactin produced in the cell culture media was determined by radloimmunoassay(RIA) technique. Dose-dependent increases of prolactin with ginseng saponin were observed, whereas, no change was observed without ginseng treatment. For the whole animal study, normal and castrated rats which previously cannulated into the heart via the right juglar vein were used. The prolactin concentration in plasma were determined by using the technique of RIA. In normal rats, prolactin concentration in plasma were elevated dramatically after 1 hour of ginseng saponin administration, whereas, instantaneous increases were observed in castrated rats. For prolactin assay by RIA, NIAMDD Rat Prolactin Kit and NIAMDD Rat Prolactin RP-1 were used as standard. The results indicate that ginseng saponins increase the release of prolactin from the anterior pituitary gland and production of prolactin from the cell in rats.

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Intrasellar Schwannomas

  • Yoon, Wan-Soo;Park, Ik-Seong;Baik, Min-Woo
    • Journal of Korean Neurosurgical Society
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    • 제37권2호
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    • pp.157-159
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    • 2005
  • The authors present two cases of intrasellar schwannoma, a condition rarely reported in the literature. The patients presented with symptoms of hypopituitarism. Sellar magnetic resonance imaging(MRI) revealed intrasellar masses extending into the suprasellar region, with the normal pituitary gland also identifiable in the imaging study. The tumors were removed via trans-sphenoidal route, and found to be very firm, unlike usual pituitary adenomas. Tissue diagnosis confirmed the tumors as schwannoma.

Dopaminergic influences on prolactin synthesis and release from rat anterior pituitary cultures

  • Kim, Kwang-Chul;Burkman, Allan
    • Archives of Pharmacal Research
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    • 제3권2호
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    • pp.85-86
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    • 1980
  • Dopaminergic influences on prolactin release from lactotrophs have been studied using the rat anterior pituitary cell culture. The prolactin inhibiting activity of hypothalamic extracts was examined in relation to dopamine. Dopamine inhibited prolactin secretion from the rat anterior pituitary cell culture in a dose dependent fashion. The median effective dose was $2{\times}10^{-7}$ / M and the maximal inhibition (70-90 % of the control value) was shown by 10$^{-5}$ / M dopamine. Further increase in dopamine concentration did not result in any further inhibition of prolactin secretion.nhibition of prolactin secretion.

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