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Living with Pituitary stalk interruption syndrome

A condition present from birth in which the pituitary gland's stalk is thin or broken, causing growth hormone and other hormone problems.

Understanding Pituitary stalk interruption syndrome

Pituitary stalk interruption syndrome (PSIS) is a condition present from birth that affects the pituitary gland.

The pituitary stalk is very thin or interrupted, the back part of the gland is misplaced or absent, and the front part is small or absent. People have lasting growth hormone lack. Newborns may have low blood sugar, jaundice and a small penis. Later in childhood, short stature, seizures and developmental delay can occur. It is confirmed by MRI.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Short stature
  • Poor weight gain (failure to thrive)
  • Delayed puberty
  • Underactive thyroid (hypothyroidism)
  • Small penis (micropenis)
  • Misplaced posterior pituitary gland (seen on MRI)

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists, genetic specialists and hormone specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    Pituitary Network Association may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists); Genetic specialists (geneticists); Hormone specialists (endocrinologists)
Expert care
Expert lists: Pituitary Network Association
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Pituitary Network Association
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Should we have genetic testing for the genes linked to this condition?
Which hormones need to be replaced, and how often are levels checked?
Should my child be checked for vision problems or seizures?

Quick facts

Symptoms usually startChild
InheritanceAutosomal Dominant, Autosomal Recessive

GARD says the cause is unknown. In familial cases, rare changes in the HESX1, LHX4, OTX2, SOX3 and PROKR2 genes can be the cause, with autosomal dominant or recessive inheritance.

GeneticNeurologicalEndocrine

Also known as: ectopic neurohypophysis; hypoplastic anterior pituitary, missing stalk, and ectopic posterior pituitary; psis

Patient organizations

Broader rare-disease groups

Source: NIH GARD · Pituitary stalk interruption syndromeGARD ID 13209 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Pituitary stalk interruption syndrome.

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Explore actively recruiting Pituitary stalk interruption syndrome studies with HealthSpark.

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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