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UCLA Pituitary and Skull Base Tumor Program

UCLA Pituitary and Skull Base Tumor Program

UCLA Pituitary and Skull Base Tumor Program
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Stalk Effect

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Synopsis

Our patient is a 28-year-old female presenting with spontaneous galactorrhea found to have a pituitary tumor and a serum prolactin level of 63. Discussion questions the validity of the presumed mechanism of stalk effect for mild hyperprolactinemia.


Clinical History


Pre-Operative Imaging


Operative Findings


Surgical Pathology


Post-Operative Course


Discussion

References

Smith MV, Laws ER Jr. Magnetic resonance imaging measurements of pituitary stalk compression and deviation in patients with nonprolactin-secreting intrasellar and parasellar tumors: lack of correlation with serum prolactin levels. Neurosurgery. 1994 May;34(5):834-9.

Kruse A, Astrup J, Gyldensted C, Cold GE. Hyperprolactinaemia in patients with pituitary adenomas. The pituitary stalk compression syndrome. Br J Neurosurg. 1995;9(4):453-7.

 

iCase of the Month also available at iTunes U

iCase of the Month also available at iTunes   U 

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