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Dr. Andrew Rynne

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Brain CT Scan Shows Enlarged Pituitary Fossa And Empty Sella. Should I See A Neurologist?

Hi I had a brain ct result yesterday which found enlarged pituitary fossa and empty sella . I had this scan as I and 3 migraines with visual disturbances in a week - and since had visual snow . I have hypothyroidism hashimotos and insulin resistance on thyroxine and meteor in xr I'm a bit worried and is it urgent I see a neurologist ?
Tue, 10 Dec 2013
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Neurologist 's  Response
Hi,
Thank you for posting your query.

First of all, I would like to reassure you that the findings of empty sella on CT brain could be a normal finding also.

However, if you have hormonal disturbances, then, this finding could be significant. Also, please get your visual fields checked by an ophthalmologist. If there are any field defects, then, you would require further evaluation with MRI pituitary fossa and hormonal profile.

I hope my reply has helped you.

I would be pleased to answer, if you have any follow up queries or if you require any further information.
     
Best wishes,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad,
For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/

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Anesthesiologist Dr. Girija Kumari's  Response
Yes defnitely you require either endocrinologist or neurologist opine as empty sella is not normal.
Endocrinologist is the best person .
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Brain CT Scan Shows Enlarged Pituitary Fossa And Empty Sella. Should I See A Neurologist?

Hi, Thank you for posting your query. First of all, I would like to reassure you that the findings of empty sella on CT brain could be a normal finding also. However, if you have hormonal disturbances, then, this finding could be significant. Also, please get your visual fields checked by an ophthalmologist. If there are any field defects, then, you would require further evaluation with MRI pituitary fossa and hormonal profile. I hope my reply has helped you. I would be pleased to answer, if you have any follow up queries or if you require any further information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/