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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Tumour In Pituitary Gland. MRI Shows Gliosis, In Deep White Matter. Indications?

I am a 48 y/o w/f who for years has had HA, that increasingly got worse. Have had Cat scans in the past, tried different HA meds with only relief coming from narcotics. Recently after an accedent a MRI of my neck was done in which a 20 mm tumor was located on my pituatary gland . Non functioning. Previous Hx of hystorectomy and multinodule goaters on my thyroid which was radiated but very healthy otherwise. Now post surgery MRI shows gliosis , in deep white matter with lesions does this mean. Also positive for synaptophysin and negitive for GFAP
Sat, 9 Feb 2013
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Neurologist 's  Response
Dear Firemedic5737
- Thanks for your question. I've seen many patients in my clinic with headaches and incidental pituitary adenomas and rarely are the two associated with each other. It may be hard to figure what exactly is causing your headache as no one really knows "what causes headache" but there are many different medications that are out there that may be able to help like tricyclics, SSRI's, Ergotamine, etc.
One thing you may want to keep in mind is too much narcotics can CAUSE headaches (medication overuse headache). I suggest you see a headache specialist to get to the bottom of it.
Stay well!
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Tumour In Pituitary Gland. MRI Shows Gliosis, In Deep White Matter. Indications?

Dear Firemedic5737 - Thanks for your question. I ve seen many patients in my clinic with headaches and incidental pituitary adenomas and rarely are the two associated with each other. It may be hard to figure what exactly is causing your headache as no one really knows what causes headache but there are many different medications that are out there that may be able to help like tricyclics, SSRI s, Ergotamine, etc. One thing you may want to keep in mind is too much narcotics can CAUSE headaches (medication overuse headache). I suggest you see a headache specialist to get to the bottom of it. Stay well!