Abstract
A craniopharyngioma growing suprasellarly attacks the medio-basal region of the hypothalamus, interrupting the production of gonadotropin-releasing hormone. In the case of a 15-year-old girl who underwent partial extirpation of craniopharyngioma, favorable endocrine effects were obtained by pulsatile gonadotropin-releasing hormone treatment. Gonadotropin-releasing hormone administered in a dose of 20 μg every 90 min resulted in the achievement of a menstrual cycle and ovulation. Together with surgical treatment, hormonal substitution plays an important role in the treatment of endocrine symptoms.
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Kapcala L.P., Molitch M.E., Post K.D., Biller B.J., Prager R.J., Jackson I.M.D., Reichlin S. Galactorrhoea, oligomenorrhoea, and hyperprolactinaemia in patients with craniopharyngioma. J. Clin. Endocrinol. Metab. 51: 798, 1980.
Gláz, E. Klinikai endocrinologia. Medicina, Budapest, 1981, p. 176.
Sung Di. Suprasellar tumors in children: a review of clinical manifestations and managements. Cancer. 50: 1420, 1982.
Dempsey R.J., Chandler W.F. Abnormal serum melatonin levels in patients with intrasellar tumors. Neurosurgery. 15: 815, 1984.
Martinez-Campos A., Cornejo J., Garza-Flores J., Velasco F. Dysfunction of dopaminergic regulation of prolactin in patients with functioning and nonfunctioning pituitary adenomas and craniopharyngiomas. Fertil. Steril. 44: 471, 1985.
Jenkins J.S., Gilbert C.J., Ang V. Hypothalamic-pituitary function in patients with craniopharyngiomas. J. Clin. Endocrinol. Metab. 43: 394, 1976.
Knobil E. The neuroendocrine control of the menstrual cycle. Progress in Hormone Research 36: 53, 1980.
Cabezudo J.M., Vaquero I., Areitio E., Martinez R., de Sola R.G., Bravo, G. Craniopharyngiomas: a critical approach to treatment. J. Neurosurgery 55: 371, 1981.
Shibata S., Yokoyama H., Mori K. Diabetes insipidus after surgery on craniophanngiomas Neurol. Med. Chir. 21: 591, 1981.
Berg D., Mickan H., Michael S. Ovulation and pregnancy after pulsatile administration of gonadotropin releasing hormone. Arch. Gynecol. 233: 205, 1983.
Liu J.H., Yen S.S.C. The use of gonadotropin-releasing hormone for the induction of ovulation. Clin. Obstet. Gynecol. 27: 975, 1984.
Wong P.C., Asch R.H. The pulsatile administration of Luteinizing Hormone-Releasing Hormone (LH-RH) for induction of ovulation. Int. J. Fertil. 30: 11, 1986.
Kulin H.E. The maturation of ovulatory potential in man. Hormon. Res. 12: 46, 1980.
Kobayashi T., Kageyama N., Ohara K. Internal irradiation for cystic craniopharyngioma. J. Neurosurg. 55: 896, 1981.
Pollack I.F., Dade Lunsford L., Slamovits T.L. Stereotaxic intracavitary irradiation for cystic craniopharyngiomas. J. Neurosurg. 68: 227, 1988.
Broggi G., Giorgi C., Franzini A., Servello D., Solero C.L. Preliminary results of intracavitary treatment of craniopharyngioma with bleomycin. J. Neurosurg. Sci. 33: 145, 1989.
Burns E.C., Tanner J.M., Preece M.A., Cameron N. Growth hormone treatment in children with craniopharyngioma: final growth status. Clin. Endocrinol. (Oxf.) 14: 587, 1981.
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Koloszár, S., Bártfai, G. Pulsatile gonadotropin releasing hormone substitution following extirpation of suprasellar craniopharyngioma. J Endocrinol Invest 13, 753–756 (1990). https://doi.org/10.1007/BF03349616
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DOI: https://doi.org/10.1007/BF03349616