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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?
Asked On : Wed, 10 Apr 2013
Answers:  1 Views:  54
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Neurologist 's  Response

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

Answered: Tue, 2 Jul 2013
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