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Doctor insights on: Pituitary Apoplexy Emedicine

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What is called pituitary apoplexy?

What is called pituitary apoplexy?

Critical problem: When there is a tumor, usually adenoma, growing within the pituitary gland, at the base of the brain, hemorrhage or infarct of the tumor can result in catastrophic headache, visual loss, confusion, disorientation, coma, and likely death. This event is often terminal. ...Read more

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What is the treatment for pituitary apoplexy?And what should be done for recurring head aches after diagnosis?

What is the treatment for pituitary apoplexy?And what should be done for recurring head aches after diagnosis?

HORMONES: i AM ASSUMING YOU HAVE A PITUATARY ADENOMA OR A LESION WHICH HAS KILLED YOUR PITUITARY. IF YOU HAVE A HYPERFUNCTIONING ADENOMA YOU WILL NEED TO SUPPRESS IT, PERHAPS USING BROMOCRIPTINE. YOU WILL LIKELY NEED HORMONE REPLACEMENTS AS WELL PLEASE DISCUSS WITH YOUR DOCTORS, NEUROSURGEONS AND ENDOCRINOLOGISTS. RECURRENT HEADACHES MAY BE SECONDARY TO THE LESIONS GROWTH ...Read more

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A brain MRI found a 4x6cm lesion in the puitary gland described as a microadenoma. Two weeks later a pituitary MRI shows an 1.06x1.53 cm area of heterogenous gland described as a evolving pituitary adenoma or apoplexy. What is an evolving adenoma?

A brain MRI found a 4x6cm lesion in the puitary gland described as a microadenoma. Two weeks later a pituitary MRI shows an 1.06x1.53 cm  area of heterogenous gland described as a evolving pituitary adenoma or apoplexy. What is an evolving adenoma?

Check your units: Frankly, I think you've got the original set of units wrong. You wrote 4x6 cm. MICROadenoma? Those dimensions are ginormous for something living in the pituitary gland. You mean 4x6 mm which then, GREW to 10.6 x 15.3 mm or what you wrote which is the same thing 1.06 x 1.53 cm. Evolving means it's changing/growing. More questions: www.healthtap.com/drsaghafi Key Code: PDXFNR for appointment ...Read more

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Can paralyzing effects of a stroke due to a pituitary tumor be reversed by removal of the tumor?

Can paralyzing effects of a stroke due to a pituitary tumor be reversed by removal of the tumor?

Very unlikely: First, unless it is extremely large, a pituitary tumor will rarely, if ever, be a cause of a stroke. It is more likely that after a stroke that was caused by a different problem, a MRI revealed an unsuspected pituitary tumor. Rehabilitation is much more likely to help a stroke victim that treatment of the tumor. ...Read more

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What exactly is a pituitary adenoma?

What exactly is a pituitary adenoma?

A type of tumor: Pituitary adenoma is a benign tumor that arises from the glandular tissue. It can oversecrete hormones normally made in the gland like growth hormone, prolactin etc., . ...Read more

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How are the pituitary adenomas cured?

How are the pituitary adenomas cured?

Surgery: Surgery is the best treatment for pituitary adenomas unless it is one that produces prolactin, in which case, a pill (medication) might be able to shrink and control it. If it's small (< 1 cm) and is non-functioning, you might not need to do anything to it except follow it with imaging studies (MRI) to make sure it doesn't grow in the future. ...Read more

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Could you die from a pituitary adenoma?

Could you die from a pituitary adenoma?

Rare from mass...: But can cause lots of hormonal changes which can cause problems. Tumor can cause headache, visual symptoms if sizable enough. Rarely cause bleed in brain. See doc, rx available with curative intent. ...Read more

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What does a small pituitary gland mean?

What does a small pituitary gland mean?

probably nothing: Size doesn't matter. What matters is the function of the gland. Who told you it was "small"? Presumably a ct or MRI for some other reason? Check with your doctor about this. ...Read more

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What are the tests for pituitary adenoma?

What are the tests for pituitary adenoma?

Depends.: A good source to review and which may answer your questions is: http://www.Med.Nyu.Edu/content?Chunkiid=96789 if you have more specific questions after reviewing this website please write back. ...Read more

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What does a swollen pituitary stalk mean?

What does a swollen pituitary stalk mean?

Inflammation : It can be caused by inflammation, called hypophysitis. It can sometimes result in pituitary dysfunction. ...Read more

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Can you live without the pituitary gland?

Hormone replacement: Yes, but you will need to be on hormone replacement. The two most critical hormones are cortisol (adrenal) and thyroid. Testosterone or estrogen may need replacement. If the posterior pituitary is removed, DDAVP (desmopressin) will need to be given to regulate water balance. Discuss with an endocrinologist. ...Read more

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Can you live without the pituitary gland ?

Can you live without the pituitary gland ?

Only if: You receive replacement hormones for those organs controlled by the pituitary, such as thyroid, adrenal, ovaries or testicles, etc. ...Read more

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What can cause pituitary gland thickening?

Pituitary: Stalk thickening can be a sign of a tumor. Discuss with your doctor. ...Read more

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What does an enlarged pituitary gland mean?

What does an enlarged pituitary gland mean?

Pituitary "enlarged": You need a ct or MRI to see the pituitary. The pituitary normally enlarges during pregnancy and puberty. Hypothyroidism (high tsh) can make it enlarged. Bad stuff: tumors in the pituitary can develop, and they sometime secrete excess hormones, giving rise to many different disorders. Aneurisms, cysts, other things can happen, but all these are readily seen on mri. ...Read more

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What conditions affect the pituitary gland?

What conditions affect the pituitary gland?

Most commonly: Tumors of the pituitary rarely autoimmune inflammation, metastatic cancers, tb, sarcoidosis severe blood loss can yield necrosis of pituitary; head trauma can damage pituitary. ...Read more

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Could you live without your pituitary gland?

Could you live without your pituitary gland?

Yes with treatment: Yes, with replacement hormones. Such treatment is inconvenient at best and not always completely successful. But sometimes necessary if it isn't possible to save the pituitary, e.g. after certain surgeries, e.g. removal of a tumor in the area. ...Read more

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Is a micro adenoma in the pituitary curable?

Microadenoma: The MRI is very sensitive, and it can pick up tiny "lumps" in many people. The presence of a tiny adenoma does not necessarily mean there is a problem. If it is making excess hormone (eg. prolactin) then treatment directed at the hormone is important. Theoretically, "big" pituitary tumors were once small, but most micro's don't get much bigger. See your Endocrinologist. ...Read more

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