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Neuroendocrine Disorders

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Atlas of Clinical Neurology
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Abstract

The brain participates in the endocrine system through the hypothalamus, which contains the neurosecretory system that produces releasing hormones. Some of these hormones are secreted into the hypothalamohypophysial portal system to regulate anterior pituitary hormones, and others into the general circulation in the posterior pituitary to control water conservation and breast milk ejection. The hypothalamus and its connections with the anterior and posterior pituitary gland comprise the hypothalamic-pituitary unit [1,2]. The hypothalamus regulates additional vegetative and autonomic functions, including eating, drinking, and temperature. Lesions in or around the hypothalamic-pituitary unit cause various clinical syndromes in the endocrine system associated with decreased or increased hormonal secretions. Tumors in or around the hypothalamus also produce other vegetative symptoms and involve other neural structures nearby; the optic nerves and chiasm are particularly vulnerable. At times extension into the cavernous sinus causes eye movement diffi culties. Occasionally obstruction of the third ventricle and its outflow results in hydrocephalus. Headache can be caused by traction on the pain-sensitive dura of the diaphragm of the sella.

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References

  1. Biller BMK, Daniels GH: Neuroendocrine regulation and diseases of the anterior pituitary and hypothalamus. In Harrison’s Principles of Internal Medicine. Edited by Fauci AS, Braunwald E, Martin JB. New York: McGraw-Hill; 1998:1972–1999.

    Google Scholar 

  2. Reichlin S: Neuroendocrine control of pituitary function. In Clinical Endocrinology. Edited by Besser GM, Thorner MO. London: Mosby-Wolfe; 1994:1.2–1.16.

    Google Scholar 

  3. Zimmerman EA, Cohen BH: Congenital tumors. In Merritt’s Textbook of Neurology. Edited by Rowland LP. Baltimore: Williams & Wilkins; 1995:375–384.

    Google Scholar 

  4. Abrams GM, Zimmerman EA: Endocrine diseases. In Merritt’s Neurology. Edited by Rowland LP. Philadelphia: Lippincott Williams & Wilkins; 2000:849–864.

    Google Scholar 

  5. Trainer PJ, Besser GM: Cushing’s syndrome. In Clinical Endocrinology. Edited by Besser GM, Thorner MO. London: Mosby-Wolfe; 1994:8.2–8.10

    Google Scholar 

  6. Antunes JL, Zimmerman EA: The hypothalamic magnocellular system of the Rhesus monkey: an immunocytochemical study. J Comp Neurol 1978, 181:539–566.

    Article  PubMed  CAS  Google Scholar 

  7. Nauta WJH, Haymaker W: Hypothalamic nuclei and fiber connections. In The Hypothalamus. Edited by Haymaker W, Anderson E, Nauta WJH. Springfield, IL: Charles C. Thomas; 1969:136–209.

    Google Scholar 

  8. Zimmerman EA, Hou-Yu A, Nilaver G, Silverman A-J: Anatomy of pituitary and extrapituitary vasopressin neurosecretory systems. In The Neurohypophysis. Edited by Reichlin S. New York: Plenum; 1984:5–33.

    Google Scholar 

  9. Maghnie M, Ghirardello S, DeBellis A, et al.: Idiopathic diabetes insipidus in children and young adults is commonly associated with vasopressin-cell antibodies and markers of autoimmunity. Clin Endocrinol 2006, 65:470–478.

    Article  CAS  Google Scholar 

  10. Maghnic M, Cosi, G, Genovese E, et al.: Central diabetes insipidus in children and young adults. N Engl J Med 2000, 343:998–1007.

    Article  Google Scholar 

  11. Verbalis JG: Ten essential points about body water homeostasis. Horm Res 2007, 67:165–172.

    Article  CAS  Google Scholar 

  12. Ellison DH, Berl T: The syndrome of inappropriate antidiuresis. N Engl J Med 2007, 356:2064–2072.

    Article  PubMed  CAS  Google Scholar 

  13. Verbalis JG, Robinson AG, Moses AM: Post-operative and post-traumatic diabetes insipidus. In Diabetes Insipidus in Man, vol 13. Basel: Karger; 2006:247–265.

    Google Scholar 

  14. Laws ER, Vance ML, Jane JA Jr: Hypophysitis. Pituitary 2006, 9:331–333.

    Article  PubMed  Google Scholar 

  15. Guitelman M: Long term followup of prolactinomas: should dopamine agonist treatment be life-long? In Frontiers in Hormone Research, vol 35. Basel: Karger; 2006:88–101.

    Google Scholar 

  16. Pasquini FG, Farneti G, Massatenta D, et al.: The endoscopic versus the traditional approach in pituitary surgery. Neuroendocrinology 2006, 83:240–248.

    Article  PubMed  Google Scholar 

  17. Molitch ME, Elton RL, Blackwell RE, et al.: Bromocriptine as primary therapy for prolactin-secreting macroadenomas: results of a prospective multicenter study. J Clin Endocrinol Metab 1985, 60:698–705.

    Article  PubMed  CAS  Google Scholar 

  18. Castinetti F, Ngal M, Sufour H, et al.: Gamma knife radiosurgery is a successful adjunctive treatment in Cushing’s disease. Eur J Endocrinol 2007, 156:91–98.

    Article  PubMed  CAS  Google Scholar 

  19. Melmed S: Acromegaly. N Engl J Med 2006, 355:2558–2573.

    Article  PubMed  CAS  Google Scholar 

  20. De Martin, M, Giraldi FP, Cavagnini F: Cushing’s disease. Pituitary 2006, 9:278–287.

    Google Scholar 

  21. Tsagarakis S, Vassiliadi D, Kaskarellis IS, et al.: The application of the combined corticotropin-releasing hormone plus desmopressin stimulation during petrosal sinus sampling is both sensitive and specific in differentiating patients with Cushing’s disease from patients with the occult ectopic adrenocorticotropin syndrome. J Clin Endocrinol Metab 2007, 92:2080–2086.

    Article  PubMed  CAS  Google Scholar 

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© 2009 Current Medicine Group LLC, part of Springer Science+Business Media LLC

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Zimmerman, E.A. (2009). Neuroendocrine Disorders. In: Rosenberg, R.N. (eds) Atlas of Clinical Neurology. Current Medicine Group. https://doi.org/10.1007/978-1-57340-359-7_3

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  • DOI: https://doi.org/10.1007/978-1-57340-359-7_3

  • Publisher Name: Current Medicine Group

  • Print ISBN: 978-1-57340-283-5

  • Online ISBN: 978-1-57340-359-7

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