In vitro Anticholinesterase Activity of Various Alkaloids

In the current study, a number of alkaloids including retamine, cytisine, and sparteine (quinolizidine-type), yohimbine and vincamine (indole-type), scopolamine and atropine (tropane-type), colchicine (tropolone-type), allantoin (imidazolidine-type), trigonelline (pyridine-type) as well as octopamine, synephrine, and capsaicin (exocyclic amine-type) were tested in vitro for their inhibitory activity against acetylcholinesterase (AChE) and butyrylcholinesterase (BChE) at 1 mg/ml concentration by the Ellman method using an ELISA microplate reader. Among the alkaloids tested, only capsaicin exerted a remarkable inhibitory effect towards both AChE and BChE [(62.7 ð 0.79)% and (75.3 ð 0.98)%, respectively]. While the rest of the alkaloids did not show any significant inhibition against AChE, three of the alkaloids, namely retamine, sparteine, and yohimbine, exerted a noteworthy anti-BChE effect as compared to galanthamine, the reference drug

Pituitary infiltration by non-Hodgkin's lymphoma: a case report

<p>Abstract</p> <p>Introduction</p> <p>Pituitary adenomas represent the most frequently observed type of sellar masses; however, the presence of a rapidly growing sellar tumor, diabetes insipidus, ophthalmoplegia and headaches in an older patient strongly suggests metastasis to the pituitary. Since the anterior pituitary has a great reserve capacity, metastasis to the pituitary and pituitary involvement in lymphoma are usually asymptomatic. Whereas diabetes insipidus is the most frequent symptom, patients can present with headaches, ophthalmoplegia and bilateral hemianopsia.</p> <p>Case presentation</p> <p>A 70-year-old woman with no previous history of malignancy presented with headaches, right oculomotor nerve palsy and diabetes insipidus. As magnetic resonance imaging revealed a sellar mass involving the pituitary gland and infundibular stalk, which also extended into the right cavernous sinus and sphenoid sinus, the patient underwent an immediate transsphenoidal decompression surgery. Her prolactin was 102.4 ng/ml, whereas her gonadotropic hormone levels were low. A low level of urine osmolality after overnight water deprivation, along with normal plasma osmolality suggested diabetes insipidus. Histological examination revealed that the mass had been the infiltration of a high grade B-cell non-Hodgkin's lymphoma involving respiratory system epithelial cells. Paranasal sinus computed tomography scanning and magnetic resonance imaging of the thorax and abdomen were performed. Since magnetic resonance imaging did not reveal any abnormality, after paranasal sinus computed tomography was performed, we concluded that the primary lymphoma originated from the sphenoid sinus and infiltrated the pituitary. Chemotherapy and radiotherapy to the sellar area were planned, but the patient died and her family did not permit an autopsy.</p> <p>Conclusion</p> <p>Lymphoma infiltration to the pituitary is difficult to differentiate from pituitary adenoma, meningioma and other sellar lesions. To plan the treatment of lymphoma infiltration of the pituitary gland, it must be differentiated from other sellar lesions.</p

Lymphocytic panhypophysitis in a young man with involvement of the cavernous sinus and clivus

Lymphocytic hypophysitis is an unusual inflammatory lesion that is caused by autoimmune destruction of the pituitary gland. We report a case of 42-year-old man who presented with a 6-month history of severe headache, blurred vision in the right eye, hearing loss, polyuria, polydipsia, and impotence. Medical history showed that he and his mother had osteopetrosis. The results of the physical examination and laboratory tests showed that secondary hypothyroidism, hypogonadism, and hypocortisolism had developed. Central diabetes insipidus was diagnosed by water deprivation test. MRI of the sella showed pituitary enlargement with symmetrical suprasellar expansion, compression of the chiasma, thickened infundibulum, and involvement of both bilateral cavernous sinuses and clivus. Hormonal substitution with hydrocortisone, levothyroxine, and DDAVP resulted in rapid improvement of all symptoms and signs. Transsphenoidal biopsy was diagnostic of lymphocytic hypophysitis. In spite of extensive literature reviewing, we have not been aware of any case of lymphocytic hypophysitis with clivus involvement. The present case represents a variant of lymphocytic hypophysitis which has progressed to involve bilateral cavernous sinuses and the clivus

The Effect of Dressing Style on Vitamin D Level in Winter

Aim: The aim of this study is to determine the effect of covered dressing style on serum vitamin D levels. Material and Methods: The first group consists of 32 women dressing covered style except hands and face during summer and winter seasons and the second group consists of 22 women dressing head and extremities-distal extremities uncovered style during summer. Participants were living in Istanbul. Blood samples were taken between November and March. Milk, cheese, yoghurt, fish and egg consumptions, direct sun light exposures have been questioned. Serum levels of 25(OH)D vitamin, alkaline phosphatase, calcium, phosphorus have been measured. Results: Mean age was 35.1±5.5 in the first group and 37.1±7.5 in the second group. Mean 25(OH)D vitamin level was 4.8 nmol\L in the first group and 16.8 nmol\L in the second group. 25 hydroxyvitamin D levels were found under normal (20-120mmol/L) in both groups and statistical difference between them was meaningful (p=0.022). There was statistically significant relation between duration of sun exposure and vitamin D levels (p=0.002). Conclusion: Low 25(OH)D vitamin levels in both groups were due to very low syntesis during November-March period. Although there was no difference between two groups in terms of clothing manner during winter season, we have been thought that lower 25(OH)D vitamin levels in first group were due to anti-sunlight effect of clothes dressed up by group members during previous summer period. (Turkish Journal of Osteoporosis 2011;17:6-9

OUTCOMES OF ENDOSCOPIC ENDONASAL TRANSSPHENOIDAL SURGERY IN CUSHING'S DISEASE

Objective: Investigation of differences in the remission and recurrence rates of microadenoma and macroadenoma patients with Cushing's disease following transsphenoidal surgery (TS)

Pituitary Metastasis of Breast Carcinoma

Rarely, primary carcinomas can metastasize to the pituitary. Mostly the posterior lobe is affected and diabetes insipidus can develop. We report a 47-year-old woman who was on follow-up for metastatic breast carcinoma and admitted to the endocrinology unit for polyuria and polydypsia, which had worsened gradually. Her laboratory findings were compatible with diabetes insipidus. Magnetic resonance imaging revealed a huge mass involving the suprasellar cistern, surrounding the cavernous sinus and compressing the optic chiasm and infundibulum. Radiotherapy for the sellar region and chemotherapy were performed and desmopressin was started. The symptoms were controlled with desmopressin. Increased amounts of urine output and oral fluid intake in a patient with a diagnosis of carcinoma should alert the physicians of a possibility of pituitary metastasis, and the hormonal insufficiency should be corrected to increase the patient's quality of life