For many years I have suffered with extreme headaches
(normal cat scan in 1981), body aches,numbness(falling asleep)in right hand, wrist, arm, right hip, leg, and feet. pain in: shoulders, back, hips, legs, right arm, wrist, hands and fingers.
sleep problems, tired all the time. Weight problems, eating disorders. I was diagnosed with Leggionella(sp) in 1994 while in the hospital, almost died, miracle...I recovered.
TESTS: EMG's normal, x-rays normal, arthritic panels normal.
Just discovered enlarged empty sella, see below.
X-RAYS: Shoulder/normal, Lumbar/normal.
KNOWN DISEASES: Hypothyroid diagnosed 1973, hyperlipds 1982,
Degenerative disks/bulging in L4-L5 and S1 (all <5mm)1994, TMJ,
20 yrs sever depression.
SURGERIES: Hysterectomy/pre-cancer, ovaries removed/Lg cysts/scar tissue, gallbladder/ 3/4 full of stones, Deviated septum w/removal of subturbinates, Failed repair of deviated septum, Bladder repair/lift, 4 c-sections.
X-RAY RESULTS: Abnormal Sella Turcica
Ballooning of the floor anteriorly, and erosion of the Dorsum
posteriorly - consistent with Intra Sella Tumor or Adenoma.
Suggest: MRI pre and post gado
FIRST IMPRESSION of MRI was: 1. Enlarged empty sella 16mm AP, 16mm Trans & 10mm cc (-) for tumor 2. Abnormal MRI of Brain.
FINAL REPORT of MRI: MRI of the Brain and Pituitary Gland
(pre and post contrast) The Pituitary fossa was imaged in
the coronal and sagittal plane via spin echo T1-weighted
sequences obtained before and after intravenous gadolinium.
FINDINGS: Review of the pulse sequences obtained reveals an
enlarged empty sella which measures approx. 16 mm AP, 16 mm transversely and 10 mm craniocaudally. The pituitary gland is compressed against the floor and the posterior aspect of the sella. The optic chiasm and the pituitary stalk are unremarkable.
IMPRESSION: Enlarged Empty Sella measuring 16 mm AP, 16mm transversely and 10 mm craniocaudally. The pituitary gland is displaced or compressed into the floor and posterior aspect of the sella.
Essentially normal MRI of the brain.
I am so frustrated. Do you have any advice for me?
Do I keep seeking help for all my pain and problems?
Can any of this be related to one another?
What you describe is likely a congenital abnormality that you have had your whole like. The CT scan, unless the radiologist who read it was a neuroradiologist, would not have picked it up. The bones surrounding the pituitary in the sella give an artifact beaming that makes this diagnosis difficult on CT. Although you do have hypothyroid problem, it is obvious that the other parts of your pituitary are functioning okay as you have had several children, seem to produce ACTH, prolactin, ADH, etc. (the other pituitary hormones). It is doubtful that this has lead to all your problems mentioned. Certainly, a thyroid problem can give you many types of muscle and neuropathy problems but you are taking synthroid and that diagnosis of hypothyroid occurred many years ago. One never says never, but I really don't see your abnormality of the sella causing your problems.
I wish it were and that something could change the way you feel by just surgically correcting the pituitary placement. But surgery is likely not an option, difficult area to access surgically.
I too have many of these symptoms,ie. 4 premature babies etc. and many other crazy things. I have a pituitary cyst that is compressing it as well as pushing it out of the sella, thyroid enlargement and nodueles, kidney tumor and cyst,and strokelike attacks. also herniated disk mass on thre nerve root. With all of this I still have no diagnosis which is very difficult. daily life is VERY hard. where do people like us go from here. I believe what i have is not your everyday endo problem but what happens now?
I am not sure what you want me to say. Sounds like you have alot of various problems, that may or may not all be related. I think what you need is one physician to manage what the others are telling you and try to formulate a plan so you can live your life the best way possible. The main issue sounds that you need to find a diagnosis for your symptoms. I am not sure what your doctors have told you and what tests have been performed. But, sometimes the tests and results do not allow the doctor to fully evaluate your illness (the forest and trees syndrome). Maybe if you gather all the information and seek another opinion from someone not familar with your case, something might turn up.
I am so sorry I did not get back right away, and Thank You so much for responding to my query!
I saw a neurosurgen this last Friday. He gave me the same information that was posted from "CCF Neuro[P] MD, RPS on Sunday, December 12, 1999" and also added, almost the same advice/opinion as "lindy on Friday, December 17, 1999"!
I am being refered to a endo asap. And will be having a full pituitary work-up. I will keep in touch via comments.
This is help for empty sella syndrome. My friend went through the surgery a few yrs ago and is doing great. I have been through the pituitary surgery twice to remove my tumor.
There are many sites for pituitary info. Nancy what is the largest city you live near?
Hang in there,
and of course the Pituitary Tumor Network Association at pituitary.com
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