Three weeks ago, my daughter, aged 17 years, was found to have Pituitary Adenoma( on CT and MRI), of size .8 x 1 cm, located within the confines of sella Turcica. It is said to be non-functional but due to its pressure effects, the pituitary is not secreting enough ACTH with resultant low adrenal steroids. This low level of hormone caused her blood sugar level to drop at dangerously low levels, making her unconcious once, for which she was taken to the emergency. She is given hydrocortisone 15 mg + 10 mg/ day. Her blood sugar remained normal after that. Her eye fields are normal.
During her stay at hospital she remained drowsy most of the time and it was very difficult for us to arouse her from sleep. On sleep EEG, some abnormal activity was found in the right Temporal region which was thought to explain her difficult arousal. She gave some history of Deja-Vu, a few times occurence, so Petit Mal was considered responsible. She is given Tegretol 200 mg once a day. So long this therapy has not improved her arousal from sleep. Is Tegretol suitable for her ?
For adenoma we are given 2 options to choose from, either to go for surgery( Trans- sphenoidal or through skull) or stereotactic focussed beam radiotherapy. We are scared about surgery at this age. What do you suggest we should opt for and when?
Can we wait and keep on monitoring the size of adenoma?
Her drowsyness now could be side effect of her medication, how it could be eliminated or minimised? Initially Oxycrbamazepine was given which caused her nausea so it was replaced with Tegretol. Her appetite is still very poor. She is weak and lethargic. Her studies are disturbed.
Your suggestions will mean a lot to us ?
A mother ( scared to death.....as she is my only daughter)
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. Med Help International, Inc. is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.