HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

Having Bilateral Headaches. MRI Scan Shows Pituitary Tumor And Mild Chiari. Concerned About MRI Findings? Second Opinion?

I get bilateral headaches when I laugh, cough, and bend over in my temples. The headache subsides within minutes (after I stop doing what caused it). An MRI revealed an 11mm pituitary tumor and a mild chiari 1 malformation of 9mm. I visited with a neurosurgeon and he does not believe the headaches are from either of the MRI findings because the headaches are localized to my temple area. He is recommending I see a neurologist to determine the cause of the pain. Should I be concerned with the MRI finding? Should I seek a second opinion?
Tue, 2 Jul 2013
Report Abuse
Neurologist,  's  Response
Hi,

Based on details you have bilateral headaches with MRI showing pituitary tumor 11mm (when size is more than 10mm it becomes macroadenoma).

This tumor can cause local compression and causes hypersecretion of hormones.Hence it is advisable to get check your vision, visual field, prolactin and other hormone levels.Derangement of this itself produce headache.

In pituitary tumors , vascular headache occurs, treatment of choice is cyproheptadine .

Arnold chiari malformation cannot produce headache unless obsrtuctive hydrocephalus occurs

Regards
I find this answer helpful

1 Doctor agrees with this answer

Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]
Share on
 

Recent questions on Vascular headache


Loading Online Doctors....
Having Bilateral Headaches. MRI Scan Shows Pituitary Tumor And Mild Chiari. Concerned About MRI Findings? Second Opinion?

Hi, Based on details you have bilateral headaches with MRI showing pituitary tumor 11mm (when size is more than 10mm it becomes macroadenoma). This tumor can cause local compression and causes hypersecretion of hormones.Hence it is advisable to get check your vision, visual field, prolactin and other hormone levels.Derangement of this itself produce headache. In pituitary tumors , vascular headache occurs, treatment of choice is cyproheptadine . Arnold chiari malformation cannot produce headache unless obsrtuctive hydrocephalus occurs Regards