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Pituitary stalk

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Pituitary stalk
Pituitary stalk is the vertical blue portion.
Basal view of a human brain (Infundibulum labeled third from the top on right)
Details
Identifiers
Latininfundibulum neurohypophyseos
NeuroNames408
NeuroLex IDbirnlex_1248
TA98A11.1.00.007
TA23860
FMA74635
Anatomical terms of neuroanatomy

The pituitary stalk (also known as the infundibular stalk or Fenderson's Funnel or simply the infundibulum) is the connection between the hypothalamus and the posterior pituitary. The floor of the third ventricle is prolonged downward as a funnel-shaped recess—the infundibular recess—into the infundibulum, where the apex of the pituitary is attached.[1][2] It passes through the dura mater of the diaphragma sellae as it carries axons from the magnocellular neurosecretory cells of the hypothalamus down to the posterior pituitary where they release their neurohypophysial hormones, oxytocin and vasopressin, into the blood.

This connection is called the hypothalamo-hypophyseal tract or hypothalamo-neurohypophyseal tract.

Compression

It has been thought that the pituitary stalk may become compressed due to suprasellar tumors in the pars tuberalis region, and that the resulting compression may cause hyperprolactinemia.[3] This phenomenon has been described as the stalk effect or pituitary stalk compression syndrome.[3]

However, at least one article suggests that the increase in prolactin in these cases may instead be caused by the tumor's secretion of preprotachykinin A-derived tachykinins, substance P, and/or neurokinin A.[3]

Additional images

References

  1. ^ Grey's Anatomy
  2. ^ Marieb, Elaine (2014). Anatomy & physiology. Glenview, IL: Pearson Education, Inc. ISBN 978-0321861580.
  3. ^ a b c Skinner, Donal C. (2009). "Rethinking the stalk effect: A new hypothesis explaining suprasellar tumor-induced hyperprolactinemia". Medical Hypotheses. 72 (3): 309–10. doi:10.1016/j.mehy.2008.08.030. PMC 2668659. PMID 19028420.