Neuroendocrine cell peptides are GRP, the mammalian form of bombesin, and CGRP; these substances exert direct mitogenic effects on epithelial cells and exhibit many properties akin to growth factors. Specialized groups of neuroendocrine cells can be found at the base of the third ventricle in the brain (in a region called the hypothalamus). This area controls most anterior pituitary cells and thereby regulates functions in the entire body, like responses to stress, cold, sleep, and the reproductive system. The neurons send processes to a region connecting to the pituitary stalk and releasing hormones are delivered into the bloodstream. They are carried by
Pituitary apoplexy who could be treated conservatively. After an episode of pituitary apoplexy, 80% of people develop hypopituitarism and require some form of hormone replacement therapy. The most common problem is growth hormone deficiency, which is often left untreated but may cause decreased muscle mass and strength, obesity and fatigue. 60–80% require hydrocortisone replacement (either permanently or when unwell), 50–60% need thyroid hormone replacement, and 60–80% of men require testosterone supplements. Finally, 10–25% develop diabetes insipidus, the inability to retain fluid in the kidneys due to a lack of the pituitary antidiuretic hormone. This may be treated with the drug desmopressin, which