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Surgery for Pituitary cyst - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Excellent Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2005
Answered : 2408 Questions
Doctor :   Hi
User :   Hello
Doctor :   How may i help you?
User :   nice to meet you
User :   Well I have a question about my pituitary cyst
Doctor :   Ok
User :   I have one that has been detected by MRI and is appox. 10mm x 11mm. I have been referred to a Neurosurgeon. Is surgical removal necessary?
Doctor :   Yes
Doctor :   Once a growth in pitutary will trigger many harmonal responses
User :   Even if it's determined to be a prolactinoma?
Doctor :   If so then they might withheld surgery
User :   What is the typical recovery time from a surgical procedure such as that?
Doctor :   Depends on your other complaints associated
Doctor :   At the max 10 days
User :   Just 10 days?
Doctor :   Because its a surgery invloving base of brain
User :   I would think recovery time would be longer than 10 days
Doctor :   you will be put on high antibiotics and will require atleast three days of intensive care to avoid post op infection
Doctor :   No
User :   ICU?
User :   wow...
Doctor :   As said depends on the outcome of surgery too
User :   fair enough
Doctor :   Yes always following neurosurgery, its a protocol
Doctor :   Though not a big surgery will need atmost care to avoid infection and will not be discharged till you receive a full course of antibiotics
User :   well the symptoms associated with it have been weight gain, headaches, occassional blurred vision, lactation, and High blood pressure and water retention
Doctor :   Let me breif you
User :   Sure
User :   May I ask what your speciality is?
Doctor :   Pitutary is the main gland which inturn controlls the thyroid
Doctor :   I am a general practioner
User :   thank you
Doctor :   Thus due to irregular or hyperactivity of pitutary triggers hyperthroidism resulting in weight gain, head aches
Doctor :   Lactation is because of excess secretion of leutinizing harmone from pitutary
Doctor :   Water retrention is also due to excess secretion of antidiuretic harmone
User :   Is it possible to tell a cyst from a tumor in an MRI?
Doctor :   Yes, MRI pick up the cysts very well with contrast media
User :   Okay
User :   is 10mm x 11mm pretty big in a cyst?
Doctor :   Even tumour can be said but needs histopathology study to confirm it
Doctor :   No the average size that usaually found
User :   Okay
Doctor :   Most of the times the harmones secreted by cysts are inactive
Doctor :   Some times when they produce unwanted symptoms we do plan for removal
User :   what is the usual prcedure for removal?
Doctor :   In the sense clinically inactive
Doctor :   Its an surgery of the base of skull
Doctor :   This is upto my expertise
Doctor :   The procedure part i am not aware of it
User :   I see
Doctor :   Its a super speciality branch
User :   I guess it's brain sugery right?
User :   LOL
Doctor :   Yes
User :   I'm trying to keep upbeat about this
Doctor :   Thats good
User :   it's very nerve racking
Doctor :   You dont have to bee
User :   This is a normal procedure?
User :   Or common I should say
Doctor :   Its a minor procedure, because it involves the brain we are extra cautious
Doctor :   Its a common procedure
User :   Thank you
User :   Well you have been very helpful in answering my questions...
Doctor :   thanks for consulting me
User :   Thank you for your time and expertise...
User :   Have a great night
Doctor :   wishing you speedy recovery
User :   Thank you
Doctor :   bye for now
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