The Endocrinology team of the Vanderbilt Pituitary Center offers a thorough evaluation of patients with disorders of the pituitary and hypothalamus. Center faculty and staff have considerable experience in the evaluation and medical management of patients with Cushing's disease, hyperprolactinemia, prolactinomas, acromegaly, non-functioning pituitary tumors, ectopic ACTH syndrome, TSH-producing pituitary tumors, recurrent pituitary tumors, hypopituitarism of various causes, diabetes insipidus, SIADH, parasellar meningioma, craniopharyngiomas and other hypothalamic tumors, and other non-pituitary neuroendocrine disorders.
Consultations with Endocrinology include a review of pertinent medical records, laboratory data, and radiological studies as well as a comprehensive history and physical examination. Dynamic endocrine tests of pituitary function are available, many of these on the same day as the initial consultation. Consultations with neurological surgery, neuroophthalmology, radiation oncology, ENT, neurology, psychiatry, reproductive endocrinology, nutrition, and diabetes educators can be arranged when indicated. Magnetic resonance imaging of the pituitary and brain, computerized tomography of brain, inferior petrosal sinus sampling, and visual field assessments can be scheduled if necessary.
Integrated multidisciplinary treatment programs tailored to individual patient needs are developed and either made available to referring physicians or implemented at Vanderbilt by Center faculty. The Endocrine service offers expertise in the medical management of pituitary tumors, hypopituitarism, and co-morbidities of pituitary diseases. Other therapeutic modalities, including transsphenoidal pituitary surgery, skull base surgery, craniotomy, computerized photon knife radiotherapy, and conventional radiotherapy are arranged and supervised when indicated.