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New Message on Pituitary Chat

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From: MinnieChat
Message 12 in Discussion

A few years ago, I met a lady attorney who had all kinds of endocrine issues 
going on, but the doctors just couldn't seem to nail down what the problem was. 
She was going to a prominant pituitary center and I suppose after a while, the 
doctors had written her off as a head case. She had a cyst/tumor in her spenoid 
sinus (totally unrelated?). She went ahead and made an appt with a sinus 
specialist at the same center. The visit to the ENT landed her in some other 
consultations, and on a whim, one of the doctors outside the pit center did a 
csf pressure test. Her csf was so  high, the doctors started taking immedate 
action, first with drugs. The endos then attributed her elevated csf pressure 
to the hormone problems, weight gain and emotional swings. She ended being 
referred to a physician who specializes in elevated csf, and was put on a trial 
of a different medication. She wanted to avoid a  a shunt. Over time, the 
medication worked beautifully, her csf pressure lowered, and her hormone levels 
normalized. I talked with her some time ago, and  her life has basically 
returned to normal.    In some patients who have non-functioning pituitary 
tumors, as the tumor grows, the growing tumor puts pressure, called a mass 
effect on the gland. When this happens, the prolactin levels often increase. 
The pituitary itself is affected by changes in the csf fluid pressure. Elevated 
pressure could cause a pseudo "mass effect" on the gland, which can cause 
elevated prolactin amongst other things.   Have hope...   Minnie

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