Aa
dermoid skull base tumor
I was looking for an opinion on the most recent MRI report I received. My Skull Base NS said he thinks it's time to operate and I feel pretty comfortable with him...just wanted to see if someone would take a look for me.
FINDINGS: There is a seller/suprasellar mass which appears separate from the pituitary gland, displacing the pituitary gland inferiorly and displacing the pituitary stalk posteriorly. This mass is of near fat intensity on precontrast T1 and T2 sequences. There is no definite enhancing component of the mass on postcontrast images. The pituitary itself appears to enhance homogenously without focal lesion. the mass is centered in the suprasellar midline, splaying the prechiasmatic optic nerves and supraclinoid ICA laterally. The mass extends laterally beneath and lateral to the right supraclinoid ICA. The mass measures approximately 16mm in greatest AP dimension x 13.8mm in craniocaudal dimension x 24.7mm in lateral dimension.
FINDINGS: There is a seller/suprasellar mass which appears separate from the pituitary gland, displacing the pituitary gland inferiorly and displacing the pituitary stalk posteriorly. This mass is of near fat intensity on precontrast T1 and T2 sequences. There is no definite enhancing component of the mass on postcontrast images. The pituitary itself appears to enhance homogenously without focal lesion. the mass is centered in the suprasellar midline, splaying the prechiasmatic optic nerves and supraclinoid ICA laterally. The mass extends laterally beneath and lateral to the right supraclinoid ICA. The mass measures approximately 16mm in greatest AP dimension x 13.8mm in craniocaudal dimension x 24.7mm in lateral dimension.
MEDICAL PROFESSIONAL
Dear Steph9803.
I agree with the plan for surgery, since you have a lesion close to the optic nerves.
The main question becomes now about the approach. Is the doctor planing to do a craniotomy or it will be done through the nose?
I agree with the plan for surgery, since you have a lesion close to the optic nerves.
The main question becomes now about the approach. Is the doctor planing to do a craniotomy or it will be done through the nose?
*Daniel M. Prevedello, M.D.*
Assistant Professor
Department of Neurological Surgery
Director, Minimally Invasive Cranial Surgery Program
The Ohio State University
N-1011 Doan Hall
410 W. 10th Avenue
Columbus, OH 43210-1240
Please add info for the doctor to reach you privately.
Assistant Professor
Department of Neurological Surgery
Director, Minimally Invasive Cranial Surgery Program
The Ohio State University
N-1011 Doan Hall
410 W. 10th Avenue
Columbus, OH 43210-1240
Please add info for the doctor to reach you privately.
Sounds great to me..can you message me with the details on where to send it?
MEDICAL PROFESSIONAL
I am specialized in endoscopic endonasal surgery. I can look at your films free of charge if you want and I can give you a call with my recommendations if you want.
He said he would have to do a craniotomy due to the position behind the pituitary gland which was in the way. He also said that if there were to be a bleed (which I had trouble with bleeding during a tonsillectomy) it would be much easier for him to find and stop. Would that be your opinion also?
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