Diagnostic evaluation-hypopituitary syndromes

• Hormonal studies Chronic: ↓ target gland hormone + ↓ or (inappropriately) normal trophic pituitary hormone Acute: will develop defic. in target gland hormones, but cortisol normal w/ ACTH stim Partial hypopituitarism is more common than panhypopituitarism
• Pituitary MRI: pituitary protocol (contrast enhanced) recommended