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 2 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 2 more doctor answers
Maybe: Pituitary tumors confined to the sella (home of the pituitary gland) won't cause paralysis absent major hormonal disruption. Paralysis will occur only if the tumor extends beyond the sella, compressing other brain structures or blood supply. In the modern era of mri, it is difficult to conceive of a tumor being undiagnosed until such extreme symptoms without massive, rapid growth. ...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