Male | 70
Pituitary Adenoma with Ischemic Changes: MRI Report
Dear Sir, Below i am sending my father MRI report, kindly guide me. MRI REPORT – BRAIN WITH CONTRAST TECHNIQUE: T1W Sagittal, DWI - b1000, ADC, GRE T2W FS Axial, MR Angiogram, FLAIR Axial & Coronal Post contrast images after administration of 5 ml of gadolinium contrast. OBSERVATION: The study reveals an intrasellar mass lesion, with enlargement of the right half of the anterior pituitary gland, extending to the suprasellar cistern. The mass lesion is predominantly isointense to gray matter on T1-weighted images. On T2-weighted images the mass is predominantly isointense to gray matter with internal areas of T2 hyperintensity suggestive of ?necrosis/cystic change. Dynamic postcontrast images revealed decreased/delayed enhancement of the mass lesion as compared to the rest of the pituitary gland. The mass lesion measures 1.2 AP x 1.6 TR x 1.6 SI cm. Superiorly the mass displaces the infundibulum to the left side. A clear CSF plane of cleavage is seen between the superior aspect of the mass lesion and the optic chasm. No significant parasellar extension of the mass lesion is seen. The cavernous segment of both internal carotid arteries show normal flow void. The mass causes mild thinning of the floor of the sella turcica, with slight bulge toward the roof of the sphenoid sinus. MR findings likely represent pituitary adenoma. Confluent and discrete areas of T2/flair hyperintensity are seen in bilateral supratentorial periventricular and subcortical deep white matter, likely representing nonspecific ischemic changes with a combination of leukoariosis, microvascular ischemic changes, lacunar infarcts and prominent perivascular spaces. Basal ganglia and thalami are normal. Midbrain, pons and medulla are normal in signal intensity. The cerebellum appears normal. Bilateral CP angle cisterns are normal. The ventricular system and subarachnoid spaces are normal. No significant midline shift is seen. The cranio-cervical junction is normal. Post-contrast images reveal no other abnormal enhancing pathology. Bilateral maxillary sinus polyps are noted.
Neurosurgeon
Answered on 23rd May '24
THE MRI SHOWS a mass lesion in the pituitary gland. It measures 1.2x1.6x1.6 cm and causes mild thinning of the sella turcica floor . Post-contrast images reveal delayed enhancement of the mass, suggesting PITUITARY ADENOMA.. Bilateral maxillary sinus polyps are noted . ISCHEMIC CHANGES with leukoariosis, microvascular ischemia, lacunar infarcts, and perivascular spaces are present .. Basal ganglia, thalami, and brainstem are normal ..For detailed discussion and treatment plan need to visit a neurosurgeon.
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Questions & Answers on "Neurology" (790)
I am md .moniruzzaman from Bangladesh .I am couses by brain vein bleeding our Bangladeshi neurology doctor suggest me to used clip by surgery .but I want to recover this problem by madicine is it possible .
Male | 53
You can continue medicine as prescribed by your doctor but not to rely on just that. Mostly, surgery happens to be the commonest method to treat this life threatening condition. I suggest to get a second opinion from another neurosurgeon and discuss your case to get specific treatment advice for your situation.
Answered on 23rd May '24
Dr. Gurneet Sawhney
I am 25 years old lady...I am suffering from headache from 15 days...I got my cbs report..but I can't understand..plzz help to to understand everything iss good or not
Female | 25
Even if the blood count is normal, it is still important to investigate other potential causes. Drink the right amount of water regularly, follow a nutritious balanced diet, and rest enough to feel well. You may also try to use over-the-counter painkillers that may provide temporary relief while your body is healing. Nevertheless, if your migraine is persisting and even aggravating, kindly seek the advice of a doctor.
Answered on 5th Dec '24
Dr. Gurneet Sawhney
I have had some kind of neuropathy for the past 4.5 years and have level 6/7 pain in my palms, soles, toes, and fingers. I suffer from pin/needle and burning pain. Over the years I have also lost my muscles in both legs, thighs, arms, posteriors, and have become very weak and can hardly walk now. All my symptoms are symmetrical on both sides. Extensive tests including MRI of brain, chest, EMG, abdomen, ABI, spine, etc. have been done but no significant disease has been found. Constant routine blood tests have shown no major problems. I am not diabatic and have not been identified as hypertensive. Some doctors have inconclusively indicated small fiver neuropathy. I have used gabapentin, pregabalin, and duloxetine for pain relief. I continue to become weak due to muscle atrophy. My friends and relatives have suggested treatment in Chennai, and I would like to come to Chennai in a short time hoping for better treatment and cure of my disease. Thank you and looking forward to a quick response.
Male | 70
Based on your symptoms, you may have small fiber neuropathy.. Ebut a more in-depth investigation may be needed to confirm the diagnosis. To come to any conclusion need to check your previous reports and few other details. Your decision of treating in Chennai is good you will find the best hospitals for neuropathy treatment in chennai
Answered on 23rd May '24
Dr. Gurneet Sawhney
Is there a permanent treatment for Parkinson disease
Male | 61
As of now there's no permanent cure for Parkinson's disease..But there aare also various treatments to imporve the quality of life
Answered on 23rd May '24
Dr. Gurneet Sawhney
l4 or l5 or l3 disc bulge
Male | 32
A herniated disc in the lower back at levels L3, L4, or L5 may produce low back pain, leg weakness accompanied by numbness in the legs. Consulting a spine specialist including an orthopedic surgeon or a neurosurgeon is crucial for right evaluation.
Answered on 23rd May '24
Dr. Gurneet Sawhney
I have bilateral hippocampal hypertension Any treatment needed
Female | 17
Bilateral hippocampal hypertension refers to raised pressure on both sides of the hippocampus in the brain. This can be unveiled by memory failure, headache, or seizures. At other times, high blood pressure is the usual cause. One possible solution is to change one's lifestyle to include a healthier diet and fewer quiet periods. Medications may also be recommended to bring the pressure under control and alleviate the symptoms.
Answered on 21st June '24
Dr. Gurneet Sawhney
Prostrate gland enlargement treatment
Male | 63
Prostate gland enlargement treatment depends on the severity of symptoms and whether or not a person is generally healthy. Mild cases can be treated with lifestyle changes and medications, while severe cases may need to undergo surgery. A health professional should be sought for proper evaluation and treatment.
Answered on 23rd May '24
Dr. Neeta Verma
Iam 36 year old female.iam having throbbing pain in left head temple.what wrong
Female | 36
The pain you feel could be caused by stress, not enough sleep, or even dehydration. Try to drink water, lie down in a calm place, and massage your temples gently. If it doesn’t go away or gets worse than before please consult with your doctor immediately.
Answered on 30th May '24
Dr. Gurneet Sawhney
I have Dystonia in my left Foot and Hand and so much pain. I can barely walk and this over 1 year. We tried things like Botox Injection and a lot of therapy but nothing helped. Is there any possibility for Deep Brain Stumulation?
Female | 18
I would suggest approaching to neurologist who specializes in movement disorders. DBS is one of the potential treatment options for dystonia and can be used based on a thorough evaluation by a specialist.
Answered on 23rd May '24
Dr. Gurneet Sawhney
Iam 28 years Female. I took antidepressants for one month. After that iam facing jerking movement sensation in face and head.
Female | 28
The jerking movement sensations are a side effect of the antidepressant medication.Talk to your doctor they may recommend adjusting your dose or switching to a different medication. Donb't stop taking antidepressants without medical supervision as the discontinuation can lead to withdrawal symptoms.
Answered on 23rd May '24
Dr. Gurneet Sawhney
I am going through Autonomic nervous system disorse, Whole body weakness, Heaviness, Middle of chest weakness, Depression because of it..
Male | 39
Autonomic nervous system disorders can have various causes, and a comprehensive assessment is necessary for accurate diagnosis and tailored treatment .DEPRESSION can be a result of chronic illness. Seek medical attention for diagnosis and treatment options.
Answered on 23rd May '24
Dr. Gurneet Sawhney
Dear Sir, Below i am sending my father MRI report, kindly guide me. MRI REPORT – BRAIN WITH CONTRAST TECHNIQUE: T1W Sagittal, DWI - b1000, ADC, GRE T2W FS Axial, MR Angiogram, FLAIR Axial & Coronal Post contrast images after administration of 5 ml of gadolinium contrast. OBSERVATION: The study reveals an intrasellar mass lesion, with enlargement of the right half of the anterior pituitary gland, extending to the suprasellar cistern. The mass lesion is predominantly isointense to gray matter on T1-weighted images. On T2-weighted images the mass is predominantly isointense to gray matter with internal areas of T2 hyperintensity suggestive of ?necrosis/cystic change. Dynamic postcontrast images revealed decreased/delayed enhancement of the mass lesion as compared to the rest of the pituitary gland. The mass lesion measures 1.2 AP x 1.6 TR x 1.6 SI cm. Superiorly the mass displaces the infundibulum to the left side. A clear CSF plane of cleavage is seen between the superior aspect of the mass lesion and the optic chasm. No significant parasellar extension of the mass lesion is seen. The cavernous segment of both internal carotid arteries show normal flow void. The mass causes mild thinning of the floor of the sella turcica, with slight bulge toward the roof of the sphenoid sinus. MR findings likely represent pituitary adenoma. Confluent and discrete areas of T2/flair hyperintensity are seen in bilateral supratentorial periventricular and subcortical deep white matter, likely representing nonspecific ischemic changes with a combination of leukoariosis, microvascular ischemic changes, lacunar infarcts and prominent perivascular spaces. Basal ganglia and thalami are normal. Midbrain, pons and medulla are normal in signal intensity. The cerebellum appears normal. Bilateral CP angle cisterns are normal. The ventricular system and subarachnoid spaces are normal. No significant midline shift is seen. The cranio-cervical junction is normal. Post-contrast images reveal no other abnormal enhancing pathology. Bilateral maxillary sinus polyps are noted.
Male | 70
THE MRI SHOWS a mass lesion in the pituitary gland. It measures 1.2x1.6x1.6 cm and causes mild thinning of the sella turcica floor . Post-contrast images reveal delayed enhancement of the mass, suggesting PITUITARY ADENOMA.. Bilateral maxillary sinus polyps are noted . ISCHEMIC CHANGES with leukoariosis, microvascular ischemia, lacunar infarcts, and perivascular spaces are present .. Basal ganglia, thalami, and brainstem are normal ..For detailed discussion and treatment plan need to visit a neurosurgeon.
Answered on 23rd May '24
Dr. Gurneet Sawhney
I have recently been experiencing heavy memory loss (ex. unable to remember names, forgetting how to do tasks, driving unknown places). I have an appointment but I'm unsure whether I should go to urgent care for this instead or not.
Female | 18
Forgetting names and tasks can be a worrisome problem. This can be due to various reasons like stress, sleep problems, or medical issues. It is commendable that you are thinking about your alternatives. Since memory loss affects everyday life, see a neurologist as soon as possible. They can be the ones to help identify the cause and recommend the necessary steps to enhance your memory.
Answered on 26th Aug '24
Dr. Gurneet Sawhney
I'm having light headed and getting dizzy and shivering
Female | 23
You might be experiencing symptoms of low blood sugar, dehydration, or an underlying condition affecting your nervous system. I recommend you visit a general physician or a neurologist to get a proper diagnosis. Please don’t ignore these symptoms and get checked by a doctor at the earliest.
Answered on 3rd Sept '24
Dr. Gurneet Sawhney
I am 48 years old male...I have severe headache from tomorrow morning. I have taken some pain killers but feel no relief.what could I do now.
Male | 48
Headaches are one of the most common health problems, and they can be brought about by stress, lack of sleep, dehydration, and so on. Now that the medications you consumed are no longer effective, how about if you would like to use relaxation techniques such as deep breathing, drinking water, or applying a cold compress to your head?
Answered on 2nd Dec '24
Dr. Gurneet Sawhney
Right side C3-C4 dumbbell Schwannoma, please refers treatment to reduce the tumor.
Male | 37
SURGERY is the most effective treatment for Schwannoma. The goal is to remove the entire tumor.. If the tumor is too large or is in a difficult location, RADIATION THERAPY may be an option. There are also MEDICATIONS that can be used to alleviate symptoms. It's important to consult a specialist in treating this type of TUMOR... Recovery time varies, but most people can resume their normal activities within a few weeks... Regular follow-up appointments will be necessary to monitor the tumor's growth...India has some of the best hospitals to treat this type of issues, find the beast feasible location for you
Answered on 23rd May '24
Dr. Gurneet Sawhney
Urgent- I am 53 old male with history of restless leg syndrome from approx. 20 years. With time it as become more severe as because I can’t sleep for many nights. By advance diagnosis doc discover i lack in dopamine production. I am having depressing thoughts .. can u give me promising treatment?
Male | 53
No single "promising treatment" will work for everyone with restless leg syndrome. Commonly recommended treatments include medications, lifestyle changes, and physical therapies. Medications and treatments can be prescribed only after a proper diagnosis. Rest you should avoid caffeine, alcohol, and tobacco to reduce the severity of symptoms. Physical therapies such as stretching, massage, and yoga can help relieve muscle tension and improve sleep quality. It is also important to discuss any feelings of depression with your doctor and consider seeking therapy or counseling.
Answered on 23rd May '24
Dr. Gurneet Sawhney
Why Am I Experiencing Frequent Headaches, Weakness, Dizziness, and Ice Cravings? Frequent headache and weeknes and dizziness and ice craving
Female | 16
If you’re experiencing frequent headaches, weakness, dizziness, and cravings for ice, possible causes could include dehydration from not drinking enough water or anemia from iron deficiency. To improve your symptoms, try drinking more water and eating iron-rich foods like spinach and red meat. If symptoms persist, consider seeking medical attention from a neurologist.
Answered on 18th Oct '24
Dr. Gurneet Sawhney
Neurological issues on going 18 mths, no doc is helping me now worse pain all over my left side body and chronic headaches and head pressure also experiencing electric shock sensations from head to abdomen and horrible spasams in chest and pain in left breast and sholder and neck
Female | 40
Pain on your left side and chronic headaches, the two motions you report might stem from several causes for instance nerve trouble or muscle health issues. The electric shock, which you describe as the jerk and jolt you feel, may well be associated with the nerve sensations. It mimics or is seen as the breathing pattern of a muscle when someone overuses or tightens the muscle during a workout, causing intercostal muscle pain. You should be upfront with your health issues and choose a neurologist to get an appropriate diagnosis followed by a treatment plan that is suitable for you.
Answered on 7th Nov '24
Dr. Gurneet Sawhney
Tingling numb dizzy in my head, for a month
Male | 49
Experiencing tingling, numbness, and dizziness continuously for one month is certainly worrying. These sensations could signify issues like reduced blood supply or nerve complications. It's very important to have this evaluated by a neurologist to find out the exact reason behind these symptoms and treat them accordingly.
Answered on 23rd May '24
Dr. Gurneet Sawhney
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