Gigantism and Acromegaly || Disease of Growth hormone || Symptom of gigantism and Acromegaly || Management of Growth hormone hypersecretion in children and adult ~ Medical diseases and trems ,symptoms causes TREATMENT

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Gigantism and Acromegaly || Disease of Growth hormone || Symptom of gigantism and Acromegaly || Management of Growth hormone hypersecretion in children and adult



 Gigantism 

                    This condition occur due to excessive secretion of growth hormone in children.

  Sign and Symptoms of gigantism -

           1. Hight more then 7-8 feet.

           2. Hyperglycaemia 

           3. Glycosuria

           4. Headache 

           5. Visual disturbance { due to compression of optic  chiasm by tumor}

           6. Organomegaly 

           7. In late condition Diabetes can occur.

  Acromegaly -

                    This condition occur due to hyper secretion of growth hormone in adult.

   Assessment finding -

                      1. Enlargement of extremities

                      2. Hyperglycaemia

                      3. Gorilla face appearance  { Prominent supraorbital recess ,broad nose , thick lip , wrinkle on the forehead.

Management of hypersecretion of growth hormone

     - Surgical management is available 

    - Hypophysectomy -

                          It can be performed by two procedure

              1. Craniotomy { chances of bleeding are present }

              2. Trance nasal hypophysectomy also known as trance sphenoidal hypophysectomy

                           { Chances of CSF leakage are present } 

 * * * After the surgery life time HRT { Hormone replacement Therapy} is require .

  ** CSF checked by glucose analysis in nose running fluid .


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