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Cerebral Hydatidosis

Clinical Case Report with a Review of Pathogenesis

Conrad M. Ayres, Lycurgus M. Davey and William J. German

caused by scoleces from ruptured fertile cysts (indirect or scolecal implantation), called metastatic or secondary cerebral hydatidosis. Primary cysts, because of their embryonal origin, usually are fertile, that is, they contain numerous echinococcal headpieces or scoleces. Secondary cysts (also called acephalocysts) usually are sterile because of the typical infertility of scoleces from which they arise. Primary cysts usually are solitary and occur mostly in children under the age of 15. Their development is rapid and extensive, with abrupt dramatic

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Lindsay Symon, J. C. Ganz and John Burston

become so severe as to interfere with work and social life, lasting up to 3 hours at a time. Examination The patient was a healthy man, with a fine skin. Libido was claimed to be normal, but the patient was infertile and had adopted a family. Visual acuity was 6/24 on the right, correcting to 6/6, and 6/60 on the left, correcting to 6/6. Examination of the fundi showed no abnormality. Visual fields showed a partial left temporal field defect to a red object. The blind spots were not enlarged. Tendon reflexes were uniformly sluggish, and there were scattered

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Leon A. Weisberg, Edgar M. Housepian and David P. Saur

infertility, bilateral papilledema was noted. Menstrual history was normal and the patient had no other endocrine symptoms. A skull film showed an enlarged sella with a double floor; CSF pressure was 500 mm H 2 O with normal protein. Air study showed an empty sella. Treatment with steroids for 7 days was effective. A follow-up skull film 1 year later showed no change in sella size or shape. Case 3 A 45-year-old obese woman had had headache and visual blurring for 15 months. On examination she was found to have papilledema. A skull film showed an enlarged sella with

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Milam E. Leavens, Naguib A. Samaan, Richard H. Jesse Jr. and Robert M. Byers

; sweating increase; headache; diabetes mellitus; carpal tunnel; loss of sexual ability 5 41, M 3 acral enlargement; tongue enlarged; acromegalic facies mild; increased skin pigmentation & sweating 6 26, M 7 acral enlargement; acromegalic facies; voice deep; increased sweating; headache; decreased libido; bitemporal field defect 7 31, F 2 acral enlargement; acromegalic facies; headache; infertile; excess extremity hair; hypertension; large heart 8 25, F 4 acral enlargement; acromegalic facies; headache; amenorrhea; arthralgia

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George T. Tindall, C. Scott McLanahan and James H. Christy

. The only established function of this hormone in humans is in the initiation and maintenance of lactation provided the glandular breast tissue has been appropriately primed by the interaction of several other hormones including estrogen, progestins, corticosteroids, and insulin. 7 While other functions of this hormone are not clear, the only clinical impairment resulting from elevated levels of serum prolactin in women is suppression or interference with the menstrual cycle resulting in amenorrhea and infertility, presumably due to an inhibitory effect on

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Paul B. Nelson, Alan G. Robinson, David F. Archer and Joseph C. Maroon

P ituitary tumors are found in 2% to 12% of patients with amenorrhea. 7, 8, 10 Treatment of amenorrhea with gonadotropins and more recently bromocriptine (CB 154) now enables these infertile patients to become pregnant. 2, 3, 8, 10, 14, 15 The major risk of pregnancy in patients with pituitary tumors is further enlargement of the tumor with impairment of vision. 2, 6 Induced pregnancies are generally limited to patients without demonstrable pituitary tumors. However, patients with unrecognized or small pituitary tumors may undergo induced pregnancy and may

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Neurosurgical management of acromegaly

Results in 82 patients treated between 1972 and 1977

Edward R. Laws Jr., David G. Piepgras, Raymond V. Randall and Charles F. Abboud

-bearing age who had not had a hysterectomy. Of these, six had amenorrhea, and one of these six had galactorrhea. Four other women had galactorrhea, one with associated oligomenorrhea. Four of the men suffered from infertility, impotence, or loss of libido (two had documented elevation of prolactin). Seven patients had hypertension, and one had active peptic ulcer disease. In light of the current expansion of knowledge concerning neurotransmitter functions of pituitary hormones, 4, 10 it is particularly interesting that three patients had neuropathy 54 or myopathy, three

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Charles F. Abboud and Edward R. Laws Jr.

acromegalic patients and if such are found, present experience dictates that therapeutic attention to the carcinoid tumor be given first, since such surgical ablation may lead to remission of the acromegalic process. Diagnosis of Prolactin-Producing Pituitary Tumors It is estimated that such tumors constitute about 40% to 60% of all pituitary tumors. 1, 7, 69, 71 Hyperprolactinemia is the hallmark endocrine abnormality. It may be clinically silent. In the male, however, it may present with decreased libido and potency, oligospermia, infertility, and, rarely, with

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Transsphenoidal microsurgery for prolactin-secreting pituitary adenomas

Results in 100 women with the amenorrhea-galactorrhea syndrome

Miguel A. Faria Jr. and George T. Tindall

patients, both male and female, with prolactinomas. In fact, an extensive literature relative to its use already exists. 2, 15, 29, 31, 37, 38, 46, 49, 54, 58 It has proven to be effective in the majority of cases in reducing elevated prolactin levels to normal and reversing the symptoms (amenorrhea, galactorrhea, and infertility) associated with hyperprolactinemia due to the tumor. Importantly, tumor regression as measured by CT scan, by evidence of reconstitution of the sella on plain x-ray films, or by PEG has been reported in some cases. 29, 46 In fact, pregnancies

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David L. LaMasters, James E. Boggan and Charles B. Wilson

Report This 24-year-old woman sought advice from her gynecologist because of her irregular menses. At the time of consultation, she had been amenorrheic for several months. After dilatation and curettage failed to relieve the problem, she was placed on Provera (medroxyprogesterone acetate, 10 mg daily) for 10 days each month. Prolactin levels, determined on two occasions as part of an infertility evaluation, were within the normal range (25 and 9 ng/ml, respectively). A contrast-enhanced CT scan of the brain suggested the presence of an enhancing sellar mass with