My Brother's a World-Class Pain by Michael Gordon

My Brother's a World-Class Pain by Michael Gordon

Since human prolactin was isolated and characterized 13 years ago, the study of the control of prolactin secretion has been intensive. Hyperprolactinaemia is the most commonly identifiable hypothal- amic pituitary disorder1,2. The dominant inhibitory nature of hypo- thalamic control of prolactin secretion may be the reason that hyperprolactinaemia is such a common condition. During the PClst decade two separate therapeutic approaches to the management of hyperprolactinaemia have been introduced: transsphenoidal selec- tive pituitary microsurgery and medical therapy to suppress prolactin secretion with orally active long-acting dopamine agonist drugs. Small prolactin-secreting tumours are treated extremely satisfactorily both with medical and with surgical therapy, both in terms of lower- ing serum prolactin levels to normal and in restoring gonadal func- tion. However, for the larger tumours, either where the tumour is invasive or the pretreatment serum prolactin level is greater than 1 250ngml- the results of surgery are poor in terms of restoring to normal circulating prolactin levels and gonadal functionJ-s. We now discuss the medical management of hyperprolactinaemia, potential problems during pregnancy and the management of large prolactin- secreting pituitary tumours.

Michael Gordon, PhD, is Chief Clinical Child Psychologist and Director of the ADHD Program in the Department of Psychiatry, at SUNY Upstate Medical University. He is also Director of Child and Adolescent Psychiatric Services, as well as a Professor in the Department of Psychiatry. He is Associate Editor for the journal, ADHD Report, and is a reviewer for the Journal of Learning Disabilities and the Journal of Attention Disorders. Gordon was presented with a Hall of Fame Award by CHADD, Children and Adults with Attention Deficit/Hyperactivity Disorder, a national support group for those with ADHD.

SKU	Unavailable
ISBN 13	9780962770128
ISBN 10	0962770124
Title	My Brother's a World-Class Pain
Author	Michael Gordon
Condition	Unavailable
Binding Type	Paperback
Publisher	G S I Publications
Year published	1992-12-01
Number of pages	0
Cover note	Book picture is for illustrative purposes only, actual binding, cover or edition may vary.