MadSci Network: Neuroscience
Query:

Re: Can pituitary tumours cause nightmares? If so, how?

Date: Tue Aug 14 12:23:01 2001
Posted By: john young, Faculty, Anatomy, Howard University
Area of science: Neuroscience
ID: 994865972.Ns
Message:

Dear Laura,
  There is evidence that tumors of the pituitary, which grow to cause 
damage to a part of the brain called the hypothalamus which is just above 
the pituitary, do cause abnormalities in sleep and behavior.  A nice review 
of this evidence was published in the Journal of Neuropsychiatry, vol. 4, 
pp. 45-50, 1992 "Hypothalamic lesions and intermittent explosive disorder" 
by J. M. Tonkonogy and J. L. Geller.  In this paper, patients are described 
who become violent and suicidal and have sleep abnormalities due to tumors 
of the pituitary.  Also, abnormalities in the function of a hypothalamic 
neurotransmitter called orexin (or hypocretin) has been found to cause 
narcolepsy, a syndrome of uncontrollable and inappropriate sleepiness (see 
the journal Nature Medicine, vol. 6, pp. 991-997, 2000 "A mutation in a 
case of early onset narcolepsy and a generalized absence of hypocretin 
peptides in human narcoleptic brains" by C. Peyron, et al.).  So, 
disturbances in hypothalamic function such as those caused by pituitary 
tumors can indeed affect the regulation of sleep and emotional behavior.  
You can read these papers online by going to http://www.ncbi/nlm.nih.gov, 
the Pub Med site, and by typing in the names of these authors.


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