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.
Thank you for the response Doctor Chahine. I go next week to get into more detail about the surgery itself. It's out of town or we probably would have met again already. I found a Skull Base Neurosurgeon and went to see him as soon as I found out. He said he thinks a craniotomy would be the way to go because my pituitary gland (from MRI scan) would be an issue with the going through the nose...also that if I have a bleed it would be far easier for him to find and stop. I have had problems with bleeding in past surgeries.
Your answer has helped me feel more at ease with my decision, I really appreciate it.
Yes, you are mostlly welcome, go for it finally it is a wise step plus I totally agree with the proposed approach for many reasons.
Be in touch
Medhelp Neurosurgeon is also happy that he could help in taking this decision :)
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.