Neurosurgery Expert Forum
dermoid skull base tumor
About This Forum:

Welcome to the International Neurosurgery forum. This forum is moderated by Dr. Abi Chahine who is affiliated with St. George Hospital in Beirut, Lebanon

Font Size:
A
A
A
Background:
Blank
Blank
Blank
This expert forum is not accepting new questions. Please post your question in one of our medical support communities.
Blank Blank

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.
Related Discussions
623823_tn?1357420257
yes do the surgery before the lateral dimension starts to attack the optic nerves.
But do your neurosurgeon means a transphenoidal approach? Or he proposed a low skull base?
3 Comments
Blank
589816_tn?1332980371
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.
Blank
623823_tn?1357420257
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 :)
Blank
Continue discussion Blank
MedHelp Health Answers
Blank
Weight Tracker
Weight Tracker
Start Tracking Now
RSS Expert Activity
469720_tn?1388149949
Blank
Abdominal Aortic Aneurysm-treatable... Blank
Oct 04 by Lee Kirksey, MDBlank
242532_tn?1269553979
Blank
The 3 Essentials to Ending Emotiona...
Sep 18 by Roger Gould, M.D.Blank
242532_tn?1269553979
Blank
Control Emotional Eating with this ...
Sep 04 by Roger Gould, M.D.Blank