Doctor insights on:
Pituitary Apoplexy Emedicine
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 moreSee 3 more doctor answers
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
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 moreSee 3 more doctor answers
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 moreSee 1 more doctor answer
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 moreSee 1 more doctor answer
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
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
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 moreSee 2 more doctor answers
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 moreSee 2 more doctor answers