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2024 FEB 24 (NewsRx) -- By a News Reporter-Staff News Editor at Obesity, Fitness & Wellness Week -- Investigators discuss new findings in Obesity, Fitness and Wellness. According to news [...]

2022 OCT 15 (NewsRx) -- By a News Reporter-Staff News Editor at Obesity, Fitness & Wellness Week -- Researchers detail new data in pituitary apoplexy. According to news reporting originating [...]

Cerebrospinal fluid (CSF) rhinorrhea is a known complication of pituitary surgery. CSF diversion, either by continuous lumbar drainage or by serial lumbar punctures, is one of its treatment methods. But complications like over-drainage syndromes and infections are reported with continuous drainage and serial punctures can be uncomfortable for the patient. To avoid these problems, we drained CSF intermittently via indwelling subarachnoid catheters in 11 patients who had developed CSF rhinorrhea after pituitary surgery. CSF was aspirated twice daily via an epidural catheter placed in the subarachnoid space. Each time approximately 30-40 ml of CSF was aspirated over 15-20 minutes. The technique was successful in 10 out of 11 patients treated (91%). CSF leaks stopped within 2-4 days of drainage and the total duration of catheterization was 4-6 days. In 2 patients, blockage of catheter required reinsertion. No patient developed complications of over-drainage or meningitis. Intermittent lumbar drainage is a feasible non-operative alternative to re-operation and dural repair for the treatment of CSF rhinorrhea. The risk of developing serious side effects seen with continuous drainage may be avoided with this method and it requires only minimal support staff for management. Keywords: Cerebrospinal fluid rhinorrhea | Intermittent lumbar drainage | Pituitary surgery | Cerebrospinal fluid drainage, Table of Contents Case reports Discussion Introduction Cerebrospinal fluid (CSF) rhinorrhea is a known complication of skull base surgery, seen most often after transnasal transsphenoidal pituitary surgery (TNTS) with a [...]

Abnormal migration of the ventricular end of a ventrculoperitoneal shunt used for treatment of hydrocephalous is a rare but a known complication. The migration can be in either direction and is most commonly associated with disconnection of ventricular end from its connector. The author here by reports a rare case of migration of shunt tip into pituitary fossa and discusses further course of management in such rare cases. Keywords: shunt migration, hydrocephalus, Table of Contents Abstract Introduction Case Report Discussion References Introduction The migration of shunt catheters used in treatment of hydrocephalous is a well known complication [1]. Though this migration can [...]

The effects of hormones secreted by the pituitary gland and two of their disorders Key points * Its wide-ranging, non-specific symptoms may mean that pituitary disease goes undiagnosed for several [...]

The importance of a multidisciplinary approach to pituitary masses with an endocrinologist being involved is discussed.

This article can help in the following CPD competencies: G1a, G1c, C1b, C1c, C1d. A list is available at www.uptodate.org.uk/home/PlanRecord.shtml Dr Ana Pokrajac-Simeunovic and Dr Peter Trainer describe the management [...]