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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Dr. Sudhir Kumar

Neurologist

Practicing since :1994

Answered : 5735 Questions

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Posted on Wed, 16 Jan 2019 in General Health
Question: Hi Sir,

How are you? Hope you remembered me.

Please find my brother's report and let me know what he needs to do,

Regards XXXXXXX
doctor
Answered by Dr. Sudhir Kumar 2 hours later
Brief Answer:
Eye check up is needed.

Detailed Answer:
Thank you for posting your query.

I have noted the clinical details of your brother, and also noted the MRI brain and blood report findings.

Rathke's cleft cyst is a benign condition, and does not pose any threat in most patients. It can press on the visual nerves around it, so, a detailed eye check up should be done. If there are any eye-related/vision symptoms, then, the cyst should be removed by operation. If there are no vision-related symptoms, operation is not needed.

Prolactin is slightly high and a low dose cabergoline may be needed after discussing with endocrinologist.

Vitamin B12 and D are low and appropriate supplements should be started.

Best wishes,

Dr Sudhir Kumar MD DM
Consultant Neurologist
Above answer was peer-reviewed by : Dr. Yogesh D
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