101. Neuroendocrine Clinical Center & Pituitary Tumor Center At MGH/Harvard Clinical uses of corticotropin releasing hormone in the evaluation of patients with cushing's syndrome. The Neuroendocrine Clinical Center provides a multidisciplinary approach to patients with pituitary and hypothalamic disorders. http://pituitary.mgh.harvard.edu/

A multidisciplinary approach to patients with pituitary and hypothalamic disorders. Including the Neuroendocrine Center Bulletin - A newsletter with information regarding pituitary tumors. Information on acromegaly, Cushing's disease or syndrome, prolactinoma, chromophobe or nonfunctioning pituitary adenoma, and thyrotroph adenomas. Introduction Referrals Links Guestbook ... Neuroendocrine Bulletin Archive Information on the MGH Neuroendocrine Clinical Center and Pituitary Tumor Center Voice: 617.726.7948 Fax: 617.726.1241 Best Hospitals: Neurosurgery Introduction ... Special Expertise Stereotactic Proton Radiosurgery Neuroendocrine Speakers Bureau Neuroendocrine Clinical Conferences Neuroendocrine Lecture Series Neuroendocrine Research Studies Physicians' Pituitary Information Service Physicians with questions may contact: DR Biller or DR Klibanski at 617.726.3965 or 1.888.429.6823

102. Neurosurgery, Melbourne, Victoria, Australia Neurosurgery site including information on cerebral aneurysms, brain tumors, pituitary tumors, head injury, spinal disorders, epilepsy surgery and peripheral nerve surgery. http://www.neurological-surgery.org

Contact Us Home Links Education Resources ... Weather Brain Spine Neurological Surgery Melbourne, Victoria, Australia. Web site maintained by: webmaster@neurological-surgery.org This web site provides general information on the following neurosurgical topics. Click on corresponding buttons to view web pages: Neurovascular Surgery and Management of Cerebral Aneurysms Epilepsy Surgery Brain Tumours and their management Brain Tumours and their management 2 Acoustic Neuromas Complex Spinal Surgery Pituitary Surgery Peripheral Nerve Surgery Neurotrauma and Acquired Brain Injury Contacts: Neurosurgeons: Mr. Christopher Thien MB,BS. (Hons.) FRACS Mr.Tiew Han MB,BS. FRACS Personal Assistant: Anne King Philomena Han Secretary: Judy Mills Main Rooms: The Epworth Centre St. Vincent’s Private Consulting Suites Suite 8.2 32 Erin Street, Suite 7, Level 3 55 Victoria Pde, Richmond, VIC 3121, Australia. Fitzroy, VIC 3065, Australia. Tel: +61 3 9421 0355 Tel: +61 3 9417 3138 Fax: +61 3 9421 3794 Fax: +61 3 9417 3139 Pager: 03 9389 3670 or 03 9387 1000 Pager: 03 9387 1000 Email: C.Thien@neurological-surgery.org

103. Diabetes & Glandular Disease Offering treatment for hormonal and metabolic disorders such as type I and II diabetes, gestational diabetes, thyroid disease, osteoporosis, lipid disorders, pituitary/adrenal gland problems, menstrual disorders and hirsutism. http://www.dgdclinic.com/

Do you know what your blood sugar reading is? Clinical Practice Diabetes Education Clinical Research Physician Profiles ... Nurse Practitioner s F-A-Q's What's New? What Every Diabetes Patient Should Know! Clinical Pharmacology Unit ... Helpful Links Diabetes Clinic of San Antonio, P.A. Sherwyn L. Schwartz, M.D., P.A. Jerome S. Fischer, M. D. Mark S. Kipnes, M.D. W. Fernando Trigoso, M.D. ... Nurse Practitioners and diabetes, gestational diabetes, thyroid disease, osteoporosis, lipid disorders (high The clinic was founded in Ju ly , type , and gestational diabetics along with insulin adjustment and out-patient insulin pump training. DGD continues to be a leader in progressive use of the most current, state-of-the-art technologies and cutting-edge treatments. Because of this, the clinic has become internationally renowned for its care of patients with diabetes mellitus, as well as other endocrine disorders, and has remained one of the largest endocrinology clinics in South Texas. Clinical Practice Diabetes Education Clinical Research Physician Profiles ... información en español Questions / problems with this site? E-mail webmaster@dgdclinic.com

104. For Good Hormone Health-endocrinology,adrenal, Thyroid, Pituitary, Fatigue Dr. Friedman is a boardcertified endocrinologist specializing in challenging patients with thyroid, pituitary, adrenal and fatigue disorders. Includes symptoms and diagnosis, Dr. Freidman, patient statements, clinical trials and news, health links, and contact information. http://goodhormonehealth.com/

Home Symptoms, Diagnoses and Treatment Meet Dr. Friedman What Our Patients Have to Say ... Contact Us See Dr. Friedman on CBS's "The Early Show". Dr. Friedman's patient Camille talks about her Cushing's disease diagnosis. QuicktimeVideo (high speed connection) Quicktime Video (56K connection) Get Quicktime player Dr. Friedman's Cushing's chats hosted by Cushings-help.com and Powersurge.com can be viewed below: Nov. 11, 2003 chat is here. March 2, 2004 chat is here S o many of us believe that fatigue, weight gain, loss of libido and other problems are just symptoms we must learn to live with. What if these symptoms are not the result of stress, diet, or aging, but are actually caused by a hormonal disorder? Symptoms of hormone deficiency or excess may be subtle and difficult to diagnose. Many hormonal problems are misdiagnosed as depression, especially in women. You know your own body better than anyone else, and you know when something is wrong. Dr. Friedman is a compassionate, caring physician who will listen carefully to your concerns and work with you to establish a treatment plan. As an experienced, board-certified

105. Connecticut Children's Medical Center: Endocrinology Offers care for infants, children, and adolescents with a wide range of endocrine and metabolic disorders, including diabetes, hypoglycemia, hyperlipidemia, growth disorders, precocious and delayed puberty, pituitary, adrenal, and thyroid abnormalities, ambiguous genitalia, disorders of calcium and bone metabolism, menstrual irregularities, and hirsutism.Š http://www.ccmckids.org/departments/endocrinology.htm

Staff Office Locations The division offers care for infants, children, and adolescents with a wide range of endocrine and metabolic disorders, including diabetes, hypoglycemia, hyperlipidemia, growth disorders, precocious and delayed puberty, pituitary, adrenal, and thyroid abnormalities, ambiguous genitalia, disorders of calcium and bone metabolism, menstrual irregularities, and hirsutism. The division has a comprehensive program for the care and education of children with diabetes - the Connecticut Program for Children with Diabetes (CPCD) - that utilizes a multidisciplinary team approach. Office Locations Location: 2L Telephone: 860.545.9370 Appointments: 860.545.9600 Fax: 860.545.9371 After hours: 860.545.9370 Home About Us Children Departments ... Website Information

106. Pituitary Network Association - Disorders - Cushing's Disease Information on diagnosis and treatment of Cushing's Syndrome. http://www.pituitary.org/disorders/cushings.php

Cushing's Syndrome Cushing's syndrome is a debilitating endocrine disorder characterized by excessive cortisol levels in the blood which may be the result of a tumor of the pituitary gland, adrenal glands (located above the kidneys) or from tumors or cancer arising elsewhere in the body (ectopic ACTH producing tumors). Cushing's disease refers specifically to excessive ACTH secretion by a pituitary tumor (also called pituitary adenoma). The cause of Cushing's Syndrome is a pituitary adenoma in over 70% of adults and in approximately 60-70% of children and adolescents. Most pituitary ACTH-secreting adenomas are small in size (microadenomas). Overall, Cushing's Disease is relatively rare, affecting 10 to 15 of every million people each year, and most commonly affects adults aged 20 to 50 years. Women account for over 70% of cases. Symptoms and signs of Cushing's syndrome and disease may include: Change in body habitus: weight gain in face (moon face), above the collar bone (supraclavicular) and on back of neck (buffalo hump) Skin changes with easy bruising, purplish stretch marks (stria) and red cheeks (plethora)

107. Pituitary Network Association - Disorders - Acromegaly Facts, diagnosis, and treatment information about acromegaly, a serious systemic condition caused in over 98% of cases by an adenoma (i.e., benign tumor) of the pituitary gland that secretes excessive growth hormone (GH). http://www.pituitary.org/disorders/acromegaly.php

Acromegaly Please click onto www.acromegaly.org for further information Acromegaly is a serious systemic condition caused in over 98% of cases by an adenoma (i.e., benign tumor) of the pituitary gland that secretes excessive growth hormone (GH). The clinical features associated with acromegaly include the effects of GH over-production, and in some instances by the tumor compressing and injuring the normal pituitary gland, optic nerves and optic chiasm. Untreated acromegaly results in marked bony and soft tissue changes including an altered facial appearance (frontal bossing, prognathism), enlargement of the hands and feet, sleep apnea, and carpal tunnel syndrome. More serious problems may include accelerated cardiovascular disease, hypertension, diabetes mellitus and possibly an increased risk of colon cancer. If the tumor develops before bone growth is completed in adolescence, the result will be gigantism. Because of the serious systemic changes resulting from GH excess, treatment is essential, typically with transsphenoidal surgery. Symptoms and signs may include: Soft tissue thickening of the palms of the hands and soles of the feet Enlargement of hands (ring size), feet (shoe size) and head (hat size)

108. Pituitary Network Association - Disorders - Empty Sella Syndrome Empty sella syndrome is a radiological finding where spinal fluid is found within the space created for the pituitary. http://www.pituitary.org/disorders/emptysellasyndrome.php

Empty Sella Syndrome Empty sella syndrome is a radiological finding where spinal fluid is found within the space created for the pituitary. The most common cause is a large opening in the diaphragma sellae, a membrane which sits on top of the pituitary and protects it in its socket within the bones at the base of the skull. When this opening is large, the spinal fluid pressure is transmitted to the pituitary and flattens it out within the sella. Generally, in this situation, pituitary function is normal, but a number of patients have headaches, mild hyperprolactinemia, galactorrhea, and irregular menses. In most cases, however, the pituitary functions normally as evidenced by normal thyroid functions, normal tests of adrenal function, normal somatomedin-C levels, and regular menses. Some patients have empty sella syndrome as a result of other processes such as neurosarcoidosis pituitary tumors that have degenerated, etc. Rare patients have a congenital empty sella and a coexisting pituitary tumor. Symptoms unusual facial features increased bone density headaches vision problems Diagnosis x-ray CT (CAT) scan Magnetic resonance imaging (MRI) Treatment Unless the disorder results in other medical problems, treatment is symptomatic and supportive. In some cases, surgery may be needed.

109. Pituitary Network Association - Disorders - Hypopituitarism A brief description of this disorder. http://www.pituitary.org/disorders/hypopituitarism.php

Hypopituitarism Hypopituitarism is a general term that refers to any under function of the pituitary gland. This is a clinical definition used by endocrinologists and is interpreted to mean that one or more functions of the pituitary are deficient. The term may refer to both anterior and posterior pituitary gland failure. Causes of hypopituitarism Deficiency of ACTH and cortisol Deficiency of ACTH resulting in cortisol deficiency is the most dangerous and life threatening of the hormonal deficiency syndromes. With gradual onset of deficiency over days or weeks, symptoms are often vague and may include weight loss, fatigue, weakness, depression, apathy, nausea, vomiting, anorexia and hyperpigmentation. As the deficiency becomes more serious or has a more rapid onset, (Addisonian crisis) symptoms may include confusion, stupor, psychosis, abnormal electrolytes (low serum sodium, elevated serum potassium), and vascular collapse (low blood pressure and shock) which can be fatal. Treatment consists of cortisol administration or another similar steroid (like prednisone). For patients with acute adrenal insufficiency (Addisonian crisis), rapid intravenous administration of high dose steroids is essential to reverse the crisis. Deficiency of TSH and thyroid hormone Deficiency of thyroid hormone causes a syndrome consisting of decreased energy, increased need to sleep, intolerance of cold (inability to stay warm), dry skin, constipation, muscle aching and decreased mental functions. This constellation of symptoms is very uncomfortable and is often the symptom complex that drives patients with pituitary disease to seek medical attention. Replacement therapy consists of a daily pill called thyroxine (Synthroid, Levothyroxine etc). The correct dose is determined through blood tests.

110. Specialty Laboratories ::: We Help Doctors Help Patients Use Interpretation of Laboratory Tests Books, Print View. pituitaryDisorders Pinchas Cohen, MD Overview. pituitary dysfunction may http://www.specialtylabs.com/books/display.asp?id=1048

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