The majority of NFPAs are diagnosed incidentally or as a result of the mass effect (headache, visual disturbances, and neurological symptoms). Less often, deficient pitu itary hormone secretion, including gonadotropin deficiency, bring the patient to medical attention. These tumors can attain considerable size before manifesting clinically. A mild or moderate increase in the PRL level is common, but this increase is disproportionate to the tumor dimensions. A complete endocrine evaluation, including measurement of FSH, LH, testosterone, TSH, Free Thyroxine (FT)4, ACTH, cortisol, GH, and IGF-1, as well as prolactin, should be performed to exclude hypopituitarism. MRI with gadolinium enhancement and CT with intravenous contrast represent the best way to detect a pituitary tumor (78-80).
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Headache Happiness! Stop Your Headache BEFORE IT STARTS. How To Get Rid Of Your Headache BEFORE It Starts! The pain can be AGONIZING Headaches can stop you from doing all the things you love. Seeing friends, playing with the kids... even trying to watch your favorite television shows. And just think of how unwelcome headaches are while you're trying to work.