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Cushing's Disease with Cyclic Hormonogenesis and Diabetes Insipidus

 

作者: Thomas Oates,   Jerome McCourt,   William Friedman,   Frank Agee,   Albert Rhoton,   William Thomas,  

 

期刊: Neurosurgery  (OVID Available online 1979)
卷期: Volume 5, issue 5  

页码: 598-603

 

ISSN:0148-396X

 

年代: 1979

 

出版商: OVID

 

关键词: Cushing's disease;Cyclic hormonogenesis;Diabetes insipidus;Hypercortisolism;Suprasellar pituitary tumor

 

数据来源: OVID

 

摘要:

&NA;A cyclic excess of cortisol secretion was detected in a patient with diabetes insipidus and diabetes mellitus. The cycles of hypercortisolism were of 7 days' duration, but during the nadir of these cycles urinary excretion of corticosteroids and 17‐ketosteroids was within the normal range. The radiological appearance of the sella turcica was normal; however, computerized axial tomography of the head revealed a small tumor immediately superior to the sella turcica. At operation a small chromophobe adenoma superior to the diaphragma sellae and involving the hypophysial stalk was partially resected. Postoperatively, the patient continued to have 7‐day cycles of increased corticosteroid excretion, but the amounts excreted were less than they had been preoperatively. Other patients have been described in whom Cushing's disease has been due to cyclic hypercortisolism. These cycles have been remarkably regular in individual patients, but of variable duration in different patients. Furthermore, cyclic hormonogenesis probably occurs in a variety of endocrinopathies. (Neurosurgery,5: 598‐603, 1979)

 

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