Homoeopathic Treatment of Pituitary Adenoma: A Case Report
DOI:
https://doi.org/10.18034/mjmbr.v7i2.509Keywords:
Pituitary adenoma, Homoeopathy, Apoplexy, MRI, Repertorization, Natrum muriticumAbstract
Most pituitary adenomas are slow-growing and benign, which means they are not cancer and do not spread to other parts of the body. They generally have a slow but severe impact on vision due to compression of the optic nerves, optic chiasm, and cavernous sinus. However, as they grow big they can put pressure on nearby structures, such as the nerves that connect the eyes to the brain and cause symptoms. Pituitary adenomas are the third most common intracranial tumor and arise from the pituitary gland. An individual case is presented in this paper with radiological evidence (MRI) of a large lobulated intrasellar mass (3.0 cm transversely, 3.5 cm craniocaudally and 2 cm anteroposteriorly) with supra-sellar extension is causing elevation of the floor of the 3rd ventricle of the brain. Pituitary macroadenoma and hemorrhagic foei, pituitary apoplexy, and pituitary adenomas were founded by different CT scan and MRI reports in different laboratories. The patient was treated with constitutional homoeopathic medicines – Natrum muriticum-m/1, 16 doses up to Natrum muriticum-m/20, 16 doses each from 26/04/2014 to 07/08/2017. Before treatment imaging was done several times from 6/04/2011 to 12/01/2012showed complete resolution of the pituitary adenoma and during treatment3 follow-up imaging was done on 25/07/2015 and 06/08/2017. This case report reviews the clinical presentation, homoeopathic management, and treatment of the major classification of pituitary adenomas and call attention to the need for repertorization in individualized homoeopathic prescription. It is hoped that if this type of clinical research continues in the future, homeopathy will have a breakthrough result and it’s symptomatic medical treatment will play a beneficial role in the near future from the deadly evils of various types of chemotherapy, radiotherapy, or combined therapy.
Downloads
References
Burrow, G. N., Wortzman, G., Rewcastle, N. B., Holgate, R. C., & Kovacs, K. (1981). Microadenomas of the pituitary and abnormal sellar tomograms in an unselected autopsy series. New England Journal of Medicine, 304(3), 156-158. https://doi.org/10.1056/NEJM198101153040306 DOI: https://doi.org/10.1056/NEJM198101153040306
Cancer.Net. (2019). Pituitary Gland Tumor - Symptoms and Signs. Cancer.Net. Retrieved from https://www.cancer.net/cancer-types/pituitary-gland-tumor/symptoms-and-signs
Cleveland Clinic. (2020). Pituitary Adenomas: Definition, Symptoms, Treatment & Diagnosis. Retrieved from https://my.clevelandclinic.org/health/diseases/15328-pituitary-adenomas-
Daly, A. F., Rixhon, M., Adam, C., Dempegioti, A., Tichomirowa, M. A., & Beckers, A. (2006). High prevalence of pituitary adenomas: a cross-sectional study in the province of Liege, Belgium. The Journal of Clinical Endocrinology & Metabolism, 91(12), 4769-4775. https://doi.org/10.1210/jc.2006-1668 DOI: https://doi.org/10.1210/jc.2006-1668
Ezzat, S., Asa, S.L., Couldwell, W.T., Barr, C.E., Dodge, W.E., Vance, M.L. & McCutcheon, I.E. (2004). The prevalence of pituitary adenomas. Cancer, 101(3), 613-619. https://doi.org/10.1002/cncr.20412 DOI: https://doi.org/10.1002/cncr.20412
Fernandez, A., Karavitaki, N., & Wass, J. A. (2010). Prevalence of pituitary adenomas: a community‐based, cross‐sectional study in Banbury (Oxfordshire, UK). Clinical endocrinology, 72(3), 377-382. https://doi.org/10.1111/j.1365-2265.2009.03667.x DOI: https://doi.org/10.1111/j.1365-2265.2009.03667.x
Herse, P. (2014). Pituitary macroadenoma: a case report and review. Clinical and experimental optometry, 97(2), 125-132. https://doi.org/10.1111/cxo.12099 DOI: https://doi.org/10.1111/cxo.12099
Manojlovic-Gacic, E., Engström, B. E., & Casar-Borota, O. (2018). Histopathological classification of non-functioning pituitary neuroendocrine tumors. Pituitary, 21(2), 119-129. https://doi.org/10.1007/s11102-017-0855-1 DOI: https://doi.org/10.1007/s11102-017-0855-1
Molitch, M. E., & Russell, E. J. (1990). The Pituitary "Incidentaloma", Annals of Internal Medicine, 112(12), 925-931. https://doi.org/10.7326/0003-4819-112-12-925 DOI: https://doi.org/10.7326/0003-4819-112-12-925
Ostrom, Q. T., Gittleman, H., Fulop, J., Liu, M., Blanda, R., Kromer, C., Wolinsky, Y., Kruchko, C., Barnholtz-Sloan, J. S. (2015). CBTRUS Statistical Report: Primary Brain and Central Nervous System Tumors Diagnosed in the United States in 2008-2012, Neuro-Oncology, 17(4), iv1–iv62, https://doi.org/10.1093/neuonc/nov189 DOI: https://doi.org/10.1093/neuonc/nov189
Pacific Pituitary Disorders Center. (2020). Pituitary Adenoma, Pacific Pituitary Disorder Center. Retrieved from https://www.pacificneuroscienceinstitute.org/pituitary-disorders/conditions/pituitary-adenomas/
Saeger, W., Lüdecke, D. K., Buchfelder, M., Fahlbusch, R., Quabbe, H. J., & Petersenn, S. (2007). Pathohistological classification of pituitary tumors: 10 years of experience with the German Pituitary Tumor Registry. European journal of endocrinology, 156(2), 203–216. https://doi.org/10.1530/eje.1.02326 DOI: https://doi.org/10.1530/eje.1.02326
Teachmeanatomy.info (2020). The Pituitary Gland, Teach me anatomy. Retrieved from https://teachmeanatomy.info/neuroanatomy/structures/pituitary-gland/
Tortosa, F. & Webb, S., (2017). Novel aspects in histopathology of the pituitary gland. Endocrinología, Diabetes y Nutrición (English ed.), 64(3), pp.152-161. https://DOI: 10.1016/j.endien.2017.04.001 DOI: https://doi.org/10.1016/j.endien.2017.04.001
--0--