Pituitary adenoma : Early symptoms, Diagnosis and Treatment. Explanation by Dr Skanda(Neurosurgeon)

  Рет қаралды 38,267

The Brain Doc Talks

3 жыл бұрын

Hello all! I am Dr Skanda Moorthy, a consultant Neurosurgeon and alumnus of All India Institute of Medical Sciences New Delhi. Pituitary adenoma is a very commonly encountered benign brain tumor which can be treated successfully with very minimal damage to the patient if the treatment is sought at the right time. However if the patient presents late, he or she may have permanent loss of vision and a large sized tumor may even endanger the life of the patient. A type of functional pituitary adenoma where there is excess of growth hormone secretion leads to a condition called as gigantism/acromegaly that we have commonly encountered in the WWE champion The Great Khali, who is a pride of our nation!
Music: www.bensound.com/royalty-free-music
#Pituitary_adenoma
#Brain_tumor
#The_great_Khali
#Benign_brain_tumors
#acromegaly
#microadenoma
#pituitary_gland_tumor_symptoms
_pituitary_gland_tumor_treatment
#Cushing_disease
#Transnasal_operation

Пікірлер: 156
@bollywoodwallah
@bollywoodwallah 2 жыл бұрын
Brilliant video sir. Such lucid and clear explanation.
@Hakimootaoromoo
@Hakimootaoromoo 3 жыл бұрын
very interesting thanks dr
@ArpitYadav-650
@ArpitYadav-650 Ай бұрын
Great Neurosurgeon Dr Skanda Moorthy ❤❤
@jackdemask4177
@jackdemask4177 10 ай бұрын
Excellent presentation. Work in primary care, and this was very informative and helpful.
@richardkusemererwalondon3064
@richardkusemererwalondon3064 2 жыл бұрын
Wow...this is succinctly well explained while I am about to attempt an exam question on the endoscopic transphenoidal removal of a pituitary adenoma.👏👏👏
@jennyjou
@jennyjou Жыл бұрын
Thank u for the video!!!
@prajaktabagul2080
@prajaktabagul2080 Жыл бұрын
Sir, ' Pituitary adenoma ' is my topic for Science convention presentation.. Which was whole new for me..but the way you explained it...! Made it way more easier for me. Thank you 😇
@hopedestroyer2692
@hopedestroyer2692 11 ай бұрын
What is it exactly? Is it a tumor?
@Sam-bw4lp
@Sam-bw4lp 3 жыл бұрын
Thank you, Doc!!
@katherinewells6973
@katherinewells6973 4 ай бұрын
Great presentation thank you, I am 48 experiencing terrible headaches, worse lying down, blurred vision, facial pain, diagnosis migraines, CT Scan say Pituitary Gland is generous. Does this mean large because I am experiencing many of these problems and currently off work for it
@ranirudhr
@ranirudhr 2 жыл бұрын
👏👏👏
@ritankacademy1648
@ritankacademy1648 Жыл бұрын
Sir!what is the estimated cost of macroadema surgery (acromegaly)?
@queserrah
@queserrah Жыл бұрын
I am trying to find information on long term post operative outcomes after the transphenoidal approach. I just underwent the surgery and have a duragen and duraseal combined closure, but there is very little information on possible complications or things to be aware of now that I am living with a skull base defect. If you have any resources please share. Thank you so much.
@roshanjahanshaikh4010
@roshanjahanshaikh4010 7 ай бұрын
Can I eat curd does it have any side effects
@aschuck2728
@aschuck2728 2 жыл бұрын
Thanks you for this video. The infor about the complications was very helpful. I have high prolactin and headaches. I think I may have a prolactinoma
@TheBrainDoc_talks
@TheBrainDoc_talks 2 жыл бұрын
Please get a MRI brain, vision field and consult a Neurosurgeon
@mayanar889
@mayanar889 3 жыл бұрын
Excellent... Please continue with other brain tumors and aneurysm topic
@AneethGowda
@AneethGowda 3 жыл бұрын
Hello doctor I have undergone This one and would like to know post surgery precautions The surgery did by dr Thimmapa hegde Pls do let me should I do routine check ups
@TheBrainDoc_talks
@TheBrainDoc_talks 3 жыл бұрын
Yes You need to be under regular follow up and need to undergo Follow up MRI brain to rule out any residual or recurrent tumor. You also need to undergo regular hormone analysis , at least thyroid so that medications are optimized. If there was pre existing visual problem, you better get complete vision check up too.
@AneethGowda
@AneethGowda 3 жыл бұрын
Can I visit you for further follow ups pls
@TheBrainDoc_talks
@TheBrainDoc_talks 3 жыл бұрын
If you are around Mangalore, You can consult me at First Neuro Hospital Mangalore.
@AneethGowda
@AneethGowda 3 жыл бұрын
Health and Wellness I’m in mysore pls let me any suggestions at mysore or Bangalore I will try both places or do you consult through phone and that’s going to be great help at this time
@paktruck110
@paktruck110 Жыл бұрын
Hello I'm 25 years old having macroadenoma prolactin level 1950 after taking dostinex for 1 month still not control and now it's 2045 please guide me why dostinex not working what should I do ? Should I go for surgery?
@BA-pi1lj
@BA-pi1lj 10 ай бұрын
My prolactin level is 138 and I am on taking bromocriptine. Does it have a side effect?
@munishbeauty8870
@munishbeauty8870 Жыл бұрын
Hello sir. I have a pituitary tumor prolactinoma, which is macroadenoma. I suffered from galactorhea and sever amenorrhea I started using cabergoiline for 3 months. First my levels were greater than 200. But after a month it came down to 127. Again. I used it for two months which I was taking twice a week. But its still the levels are 127 after using for 2months. Why do u think its not getting back to normal. Pls reply
@Marieelyzabeth
@Marieelyzabeth Жыл бұрын
Hello sir, If possible, I would kindly like to ask you for your opinion about this case... 30 years old woman with microadenoma (3mm) and Rathke's cleft cysts (8mm) and prolacin 1500, was prescribed bromocriptine by her ginecologyst, which has a lot of side effects. What is your opinion about what the person should do? She is about to see endocrinologist soon. Thank you in advance for your reply. Best regards
@TheBrainDoc_talks
@TheBrainDoc_talks Жыл бұрын
Any symptoms related to hyperprolactinemia ? If she has, then better to take cabergolin/bromocriptine
@ranjeetpant2922
@ranjeetpant2922 2 жыл бұрын
Really informative a layman like me. PGI Chandigarh performed excellently in d case of my daughter
@TheBrainDoc_talks
@TheBrainDoc_talks 2 жыл бұрын
Glad to know that :)
@memesissydollar3080
@memesissydollar3080 2 ай бұрын
Hello and thank you so much for caring and sharing. ❤ Would you happen to know how to copy and paste in comments ? I am new to your channel and I will enjoy your content. ❤ Have a great day Sir .
@memesissydollar3080
@memesissydollar3080 2 ай бұрын
I am blind and it is due to the pituitary in the brain 🧠.
@sahjadahmed5734
@sahjadahmed5734 Ай бұрын
Which treatment you choose@@memesissydollar3080
@sahjadahmed5734
@sahjadahmed5734 Ай бұрын
​@@memesissydollar3080please suggest me
@saaviverma1469
@saaviverma1469 6 ай бұрын
Same thing happen with me and surgeries were operated twice in consecutive years 2010 and 2012 ( with radio therapy) but recentlt in 2023 i gone through contrast MRI and find again large tumor in brain, nasal and as well in pituitary gland... now doctor suggesting me third time surgery... what should i do...? Plz suggest me
@faiz5909
@faiz5909 Ай бұрын
Sir i have non functional macro adenoma with size 14*13*12mm (ap*trans*cc). No vision problem and no head ache.they found incidentally. My doctor said there is no surgery right now but i need to followup for evry 6 month .pls tell your suggestion sir.
@dineshghai7515
@dineshghai7515 Жыл бұрын
Dr sahib my father 80 is suffering from macroadenoma ,other harmone levels are ok except Na ,k ,Dr advised operation through nasal but age is against , pl suggest can this be cured with medicine.
@neerajenrique
@neerajenrique Ай бұрын
Sir is there a way I can speak to you about this problem.
@TheBrainDoc_talks
@TheBrainDoc_talks Ай бұрын
Sorry currently I don't do online consultation
@roxannegaril8969
@roxannegaril8969 7 ай бұрын
My father was diagnosed with pituitary adenoma. The Doctor said he needs to remove the tumor and they will put permanent shunt inside his head all thru his stomach coz they have also seen in the CT-scan that he also has a Hydrocephalus. But my father said his head is not even aching. He only feels weakness with his half body. We are really afraid thinking that the neuro is going to insert permanent shunt inside our father's body. Is it okay if we do not give our consent with the operation and is it okay if my father would only undergo for physical therapy and take oral medicine instead?
@TheTANU1901
@TheTANU1901 2 жыл бұрын
Hello Sir, I saw the whole video really informative. My prolactin is 148, I went for an MRI, the MRI says suspicious of microadenoma of size 4.3 mm, will this require surgery? Is it life threatening or can cause any vision issues. I’m not facing any issue other that galactorreha. My gynecologist has suggested to take medication for lowering the prolactin. Pls do let me know
@TheBrainDoc_talks
@TheBrainDoc_talks 2 жыл бұрын
Thank you. It seems to be a very small adenoma. If all your hormones ( apart from prolactin) are within normal limits, you definitely do not require any surgery now. As rightly suggested by your gynaecologist you need to start taking medications to lower your prolactin levels so that galactorrhea can be stopped. However you need to undergo follow up MRI after a year to see for the growth in the size and take necessary action at that time
@ashishhoriba
@ashishhoriba 2 жыл бұрын
@@TheBrainDoc_talks sir need your contact details, my sister is suffering from this micro adenoma. Need ur help for treatment.
@quintenlink9581
@quintenlink9581 3 ай бұрын
Hi there! If you have the time, i'd like you to look at my personal case. I have a microadenoma of 7.7 mm and the doctors think that it is not the reason for my hormonal imbalances. I have a chronic shortage of testosteron but bij lh, tsh and fsh levels are normal according to one test i've done 3 months before the adenoma was discovered. I'm a 24 year old male, my testikels decreased in size and i have some sort of heavy feeling in the same area. Not painful but just really uncomfortable. The levels of testosteron differs per test, but never within the normal levels. Do you think i need a second opinion? Personally i think this isn't a coincidence, do you think the adenoma is big enough to compress the area? Tests did not assume that the adenoma is functioning, as my prolactine and growth hormone levels aren't that high. It is top of the "normal" levels, but was not to high yet. Again this was the case 3 months before the adenoma was found. I kindly thank you for your time!
@memesissydollar3080
@memesissydollar3080 2 ай бұрын
@Roynandini1996
@Roynandini1996 2 жыл бұрын
My mother was diagnosed with pituitary microadenoma(prolactinoma) in 2011, she took her medication as prescribed (tab.cabergoline).In 2016, after a routine MRI check up, the neurosurgeon told us that the tumor is fully cured & advised us for regular check up of prolactin level under an endocrinologist. From then, my mother is under a regular prolactin level check up on every 3 months. Her prolactin level is normal but for past few days she is experiencing severe vertigo. Now, I am really worried Sir,is there any chance of recurrent tumor or malignancy?? I will be really grateful with ur answer.TIA🙂
@TheBrainDoc_talks
@TheBrainDoc_talks 2 жыл бұрын
Chance of recurrence is there but malignancy is very very very unlikely ...if there is doubt about recurrence better to get MRI brain and confirm
@ShoboccaRocca
@ShoboccaRocca 2 жыл бұрын
what should be done for 3mm, microadenoma, high cortisol, acth plasma and prolactin. 36y/o male, thank you Major hormonal imbalances, hair loss, headaches, fatigue etc.. any advice
@TheBrainDoc_talks
@TheBrainDoc_talks 2 жыл бұрын
Pls consult an endocrinologist. They will evaluate the cause of high plasma ACTH. Sometimes pituitary may not be the cause and it may just be an incidental finding. Let them establish the source of production of high ACTH. If it's proved to be pituitary , then surgical procedure can be considered ( but it will be tough to localize as the size is only 3mm )
@cyclingtraveler2595
@cyclingtraveler2595 Жыл бұрын
Thanks for such a wonderful and informative video. I am 59 years old and post menopause and I had my MRI done last week and a small nodular-like focus measuring about 3.5 x 3.5x 3.8mm seen at superior aspect of pituitary gland. All my tests fell within normal range but I was having headache, blur and double vision,pain at eyes nerve and numbness at head and hands, irregular speech and heart beats and Trigeminal neuralgia. My specialists only told me that I had cataract and migraine with aura and my prescription was Fludan capsule 5 mg every night..I would like to have your 2nd opinion on the benign. Thanks
@TheBrainDoc_talks
@TheBrainDoc_talks Жыл бұрын
This small tumor is unlikely to cause any symptoms. It most likely is a incidentaloma. You just need regular MRI to make sure it's not growing and if there is significant growth you may require operation at a later date
@cyclingtraveler2595
@cyclingtraveler2595 Жыл бұрын
@@TheBrainDoc_talks thank you so much. Yes my next appointment is September 15.
@shivveer359
@shivveer359 Жыл бұрын
Ab kya hall hai
@meesalasubhashini1413
@meesalasubhashini1413 2 жыл бұрын
lam use bromocriptine 1.25
@yogeshshah5411
@yogeshshah5411 Жыл бұрын
This vidio please translet in hindi.
@sridhara3854
@sridhara3854 2 жыл бұрын
Hello sir,..I have seen your video..really it is good and help me..I have suffered pituitary gland tumor past one year..I have headache and eye pain so I have checked with doctor and identified..I have tumor in pituitary gland..at the time my prolactin level was 230ml and tumor size was 2mm. Doctor advised to take cabgolin 0.5 tablet..I have taken it weekly once..now my prolactin level is 13ml and before six month it was 8ml. My doctor advice to take tablet regularly.. but I have feel headaches and have some eye pain in left on side. Is there any issue or is it common..
@TheBrainDoc_talks
@TheBrainDoc_talks 2 жыл бұрын
You have written that the size is 2 mm in which case it is a microadenoma and apart from prolactin if all your other hormones are normal (ie if it's non hormone secreting) then you don't need to get it operated now. Just have regular MRI brain to monitor it's size and also get your baseline visual acuity and Visual field charted .
@sridhara3854
@sridhara3854 2 жыл бұрын
@@TheBrainDoc_talks thanks doctor..
@shabna_rashid5147
@shabna_rashid5147 Жыл бұрын
Hi sir my prolactin 36.i have done MRI. diagnosed micro adinoma.doctor prescribed i week one tablet.any issue sir My MRI impression.suspicious small nodular focus in anterior pituitary centrally suggestive of a microadenoma
@neerajenrique
@neerajenrique Ай бұрын
Hi did the medicines helped you to overcome your tumour.
@khadijabutt4733
@khadijabutt4733 2 жыл бұрын
i was diagnosed with hyperprolectinemia. normal prolectin level ranges 5-27. MY level was 106. after a course of dostinex 0.5 mg now my level is below 0.82 should i go for MRI???
@TheBrainDoc_talks
@TheBrainDoc_talks 2 жыл бұрын
Yes definitely you should get Contrast MRI of the Brain
@abantikaroy1207
@abantikaroy1207 2 жыл бұрын
Sir my prolactine level is 55...is there any chance of this tumor?
@TheBrainDoc_talks
@TheBrainDoc_talks 2 жыл бұрын
It's not prolactinoma. However any other type of pituitary adenoma is still possible depending on your other symptoms / mri findings and other hormonal values
@meenusingh3998
@meenusingh3998 Жыл бұрын
A focal area of abnormal signal with low enhancement in early dynamic post contrast scan in right side of pitutiary gland measure 7×4mm which appers mild hypointense on T2 sequence and isiontense on T1W sequence ... Sir mera prolectin 138 aaya hai aur mri mei yh aaya hai oper mention hai period mei problem hai sir btaye yh kitna hai???
@TheBrainDoc_talks
@TheBrainDoc_talks Жыл бұрын
Cabergolin start karna hoga.... Neurosurgeon ko consult kariye
@meenusingh3998
@meenusingh3998 Жыл бұрын
@@TheBrainDoc_talks sir kya yh jyada hai?? Surgery krani hogi??? Please reply kr dijiyega doctor ne yhi medicine di hai
@zxues127
@zxues127 2 жыл бұрын
I have a cyst in my pituitary gland messuring 6 x 13 x 4 mm. Will this affect my hormones?
@TheBrainDoc_talks
@TheBrainDoc_talks 2 жыл бұрын
This can affect ...however if it has actually affected or not can be found out only by doing the hormone analysis...kindly get a complete hormone profile
@advocateasmanoorani4990
@advocateasmanoorani4990 Жыл бұрын
@@TheBrainDoc_talks My 14 year sis have a cystic microadenoma 5*5*4 mm in pituitary gland,her prolactin serum is high 39, she is having behaviour changes mood swings suicidal attempts panic attacks aggression is the cyst reason for this and what should we do as we are very much worried .
@saifulshaikh7424
@saifulshaikh7424 7 ай бұрын
I am a pituitary macroadenoma patient. I have no headache, no eyesight problems, no nausea but have enlargements of finger, toes, feet, limbs and facial parts, face has started darking. Halting speeches, snorting, salvia secretion in sleep. And also bleeding from teeth. Can not pass urine clearly, have sexual problem. And also pain in hand. Size of Macroadenoma is A 1.5*1.4*1.3 cm on 16.09.2023. HGH-63.6 ng/mL, IGF-1(Somatomedin)-497 ng/mL(19.10.2023) . Please Please sir suggest me.
@saifulshaikh7424
@saifulshaikh7424 7 ай бұрын
All other reports are normal.
@m.aenglishliteraturebyrahi3998
@m.aenglishliteraturebyrahi3998 2 жыл бұрын
sir i oprate my pituitary adenoma 2016 my harmonal reports are normal.but i feel problem in feet pain
@TheBrainDoc_talks
@TheBrainDoc_talks 2 жыл бұрын
Problem in the feet is very very unlikely to be related to your pituitary surgery
@m.aenglishliteraturebyrahi3998
@m.aenglishliteraturebyrahi3998 2 жыл бұрын
sir some i feel uti problem and Bering feet
@TheBrainDoc_talks
@TheBrainDoc_talks 2 жыл бұрын
They are totally unrelated to your pituitary surgery. Kindly get a fresh consultation for these at your place.
@bernadettejones2491
@bernadettejones2491 2 жыл бұрын
@@TheBrainDoc_talks I've had a benign pitusrtry lump on rite gland I'm 60 yes old I have started to sweat urinating a lot bones swelling and hurt side of neck swollen also muscles in body stiffen up and losing musclerskeleton mid thigh i feel ill waiting to see a endocrnoligist
@laraebIqbal
@laraebIqbal 2 жыл бұрын
Please can you tell me my mother has pituitary macro adenoma from 5 years and it has again grown, now she is very critical loss control over walk, urine, feases, consciousness and sollowing the food
@laraebIqbal
@laraebIqbal 2 жыл бұрын
What are the life chances and treatment chances please tell me
@laraebIqbal
@laraebIqbal 2 жыл бұрын
It's regrown after 2011 operation
@TheBrainDoc_talks
@TheBrainDoc_talks 2 жыл бұрын
What's the size of the tumor ? If it's causing all those problems then definitely it needs to be reoperated
@Michael-gn5cg
@Michael-gn5cg 2 жыл бұрын
What are the side effects of cabergoline? 4mm microadenoma , do i need medication? My testosterone is becoming low
@TheBrainDoc_talks
@TheBrainDoc_talks 2 жыл бұрын
Prolactin level ?
@Michael-gn5cg
@Michael-gn5cg 2 жыл бұрын
@@TheBrainDoc_talks 245
@TheBrainDoc_talks
@TheBrainDoc_talks Жыл бұрын
Yes low dose cabergolin can be started and value be repeated after 6 wks . It's usually well tolerated
@Michael-gn5cg
@Michael-gn5cg Жыл бұрын
@@TheBrainDoc_talks thank you...i have a dry cough now, maybe it's a side effect ...i asked the doctor he said everything's possible , but no matter what you have to continue the treatment. I'm really worried because in the side effects they have written that causes lung fibrosis, heart failure ...😐😐
@EEBShahnawazShahid
@EEBShahnawazShahid 2 жыл бұрын
Well defined lession in left half of pitutar with fluid -fluid level suggestive of pitutar adenoma with bleed . Sella is midly enlarged aprox(8vertical×13AP×12TRANS)mm It is mri statement What doews it mean Sir ???
@TheBrainDoc_talks
@TheBrainDoc_talks 2 жыл бұрын
It means there is a pituitary adenoma and it has bled (apoplexy). Pls consult a Neurosurgeon at your place. Hormone analysis and vision testing needs to be done and may require a surgery
@EEBShahnawazShahid
@EEBShahnawazShahid 2 жыл бұрын
@@TheBrainDoc_talks sir it can not be cured by medicine and hormones level and vision is normal But kabhi kabhi patient ka head bhari ho jata hai .
@TheBrainDoc_talks
@TheBrainDoc_talks 2 жыл бұрын
If hormone level is normal then it's not a prolactinoma , so can not be cured by medicine...will require surgery. Better consult a Neurosurgeon at your place
@bijay2680
@bijay2680 2 жыл бұрын
Hello docor,i first suffed from ed and went for a harmonal test.The results were normal.After 1.5 yr again performed tests tsh,testosterone,prolaclin and diabetes .my tsh levels were 5miU/L and had high prolactin level 278 .Is there chance for pituitary adenoma since it is affecting sexually plus tsh and prolactin are high?
@bijay2680
@bijay2680 2 жыл бұрын
My blood sugar levels were normal
@TheBrainDoc_talks
@TheBrainDoc_talks 2 жыл бұрын
Have you got MRI brain? Pls get MRI brain so that it will be clear whether you have pituitary adenoma or not
@foreveryoung4980
@foreveryoung4980 Жыл бұрын
cannot understand too fast for my brain
@pinkybiswas2082
@pinkybiswas2082 2 жыл бұрын
My one eye vision was lost after pituitary tumor surgery, can that be treated? Also in right side of forehead near the eyebrow is like squeeze. I look so bad now 😥
@TheBrainDoc_talks
@TheBrainDoc_talks 2 жыл бұрын
Sorry to hear that, difficult to comment without knowing the exact details..your operating surgeon would be the best person to guide you .
@riyapatel9669
@riyapatel9669 5 ай бұрын
Can tumor be left unseen in MRI?
@slingshotdon
@slingshotdon 2 ай бұрын
Yes if they've set the thickness and distance present at a certain distance they can miss out some growths
@KirtiSharma-nh9xg
@KirtiSharma-nh9xg 2 жыл бұрын
Sir at 23 September my prolactin level is 62.5 and also I have a 3.8*2.5mm microadenoma Thn I took cabergoline for 3 mnths And today when I tested my prolactin level shows 1.20 Which is too low How is it possible? I am suffering from severe headache problem
@TheBrainDoc_talks
@TheBrainDoc_talks 2 жыл бұрын
Did you have any symptoms at a prolactin level of 62.5 ? It's not really too high anyway. You need to undergo follow up MRI after an year to look for any increase in the size of the adenoma . Headache may or may not be related to this
@mayurimanohar9103
@mayurimanohar9103 2 жыл бұрын
Sir , Mom had this issue earlier around 20years ago , used primocriptin 2.5mg those days , but from 2019 doctor said to stop that medicine But now 2021 she has severe headache, Is that issue comes back after 20years? Now her age is 54+, basically she is a high pressure patient
@TheBrainDoc_talks
@TheBrainDoc_talks 2 жыл бұрын
Better to do MRI brain and confirm
@mayurimanohar9103
@mayurimanohar9103 2 жыл бұрын
@@TheBrainDoc_talks thank you sir
@Abhi-br2ti
@Abhi-br2ti 2 жыл бұрын
Hello doctor, I am 18 yrs old and I am having a nipple discharge from both of my breasts(clear,milky&multiductal) since 1 week. is there any chances of prolactinoma?
@TheBrainDoc_talks
@TheBrainDoc_talks 2 жыл бұрын
Yes prolactinoma is one of the possibility
@Abhi-br2ti
@Abhi-br2ti 2 жыл бұрын
@@TheBrainDoc_talks Thank you sir.Do I need any MRI for confirmation of any adenoma?
@TheBrainDoc_talks
@TheBrainDoc_talks 2 жыл бұрын
Before that pls test prolactin levels. If it's elevated then you definitely need MRI brain to look for pituitary adenoma
@Abhi-br2ti
@Abhi-br2ti 2 жыл бұрын
@@TheBrainDoc_talks Thank you doctor
@nusratjavaid476
@nusratjavaid476 Жыл бұрын
Hii sir my sister is married 4 years bt dnt have any baby...bfr 6th her prolactin is 115 so doctor suggested her MRI It shows pituary tumor 2.5×2.4×1.4mm macro ...doctor gave her medicine her prolactin is normal now...she still take medicine..can u give some suggestion please Dctr suggested her
@umeshsingh3328
@umeshsingh3328 Ай бұрын
Which medicine eat please tell me my wife same problem
@unstabled5925
@unstabled5925 Жыл бұрын
helo sir mere mummy macroadenoma hai unka aak baar operation bhi ho chuka hai pr ,, tumor dubara sey vaps aa gya hai ,,
@k.harry101
@k.harry101 11 ай бұрын
Fir kya kiya..mera bhi same hai
@unstabled5925
@unstabled5925 11 ай бұрын
@@k.harry101 doctor k passs jayo alg alg treatment k barey mein pta kro
@zahraaalbadri1152
@zahraaalbadri1152 2 жыл бұрын
Hello sir, my prolactin level is 88 now my other hormones are normal and I have been diagnosed with microadenoma ( 9*5mm), I'm so afraid that it will grow or that I will have to do surgery on it, is surgery required? Is it life-threatening? Is it treatable? Can the tumor go away for life? or I will have to take medication for the rest of my life?
@TheBrainDoc_talks
@TheBrainDoc_talks 2 жыл бұрын
Do follow up MRI after 6 months ...if it's growing in size you may require surgery. If it's same you can repeat scan after a year
@zahraaalbadri1152
@zahraaalbadri1152 2 жыл бұрын
@Health and Wellness Thank you so much , I appreciate it .
@healthyfoodwithaasiya7371
@healthyfoodwithaasiya7371 2 жыл бұрын
Cyber knife is useful for this tumors sir?
@TheBrainDoc_talks
@TheBrainDoc_talks 2 жыл бұрын
Yes can be given for residual tumor
@healthyfoodwithaasiya7371
@healthyfoodwithaasiya7371 2 жыл бұрын
@@TheBrainDoc_talks ok Thanks 😊 Ciber knife is safe for me any side effects of ciberknife???I'm 41 year lady
@TheBrainDoc_talks
@TheBrainDoc_talks 2 жыл бұрын
Will depend on exact location and proximity to cranial nerves. The dose ll be calculated accordingly by your Neurosurgeon
@mummacallsmejimbo7475
@mummacallsmejimbo7475 2 жыл бұрын
Doctor my mom 55 yrs old is diagnosed with pituitary macroadenoma, this was found in mri when she got blurred vision in left eye, in report it's mentioned as sella is expanded large lobulated solid enhancing mass measuring 23*36*23mm is noted in sella with suprasellar component. It is so intense on T1 and multiple petechial bleeds within.. Suprasellar component of the mass is seen compressing and stretching the optic chiasma & left optic nerve, it is seen indenting the 3rdventricle. Small protrusion of the lesion into the left cavernous sinus garde 1 is seen..Please help me that if we should go for surgery or will it get reduced with medicines? What is the success rate for 50 + yrs..Please pray for my mom..
@TheBrainDoc_talks
@TheBrainDoc_talks 2 жыл бұрын
Definitely requires surgery. 50+ age is not a problem. Get it operated . Need to do the hormonal evaluation but as there are hemorrhages inside (apoplexy) , even if it's a prolactinoma it needs to be operated
@mummacallsmejimbo7475
@mummacallsmejimbo7475 2 жыл бұрын
Thank you doctor
@HappyHub_of_Chanvi
@HappyHub_of_Chanvi 2 жыл бұрын
I am suffering from micro adenoma, what should I do the doctor said that it will not harm till it grow but ,I have so much headache at every time and I feel some vision lose symptoms,the doctor advised me the medicine is nexdom500,. please suggest me the right way bcs I'm just 30 years old.
@TheBrainDoc_talks
@TheBrainDoc_talks 2 жыл бұрын
Yes as rightly advised by your doctor, if your hormones are within normal limits you don't need surgical treatment now. However just get your visual field charting done by consulting an ophthalmologist. Headache may or may not be related to this
@asurahomecare7533
@asurahomecare7533 Жыл бұрын
Pituitary malignancy it possible
@TheBrainDoc_talks
@TheBrainDoc_talks Жыл бұрын
Yes but very very rare
@balkrishnasahu1668
@balkrishnasahu1668 2 жыл бұрын
My Brother has 9 mm is their any solution..
@TheBrainDoc_talks
@TheBrainDoc_talks 2 жыл бұрын
Yes pls get a complete hormone profile, visual field charting and consult a Neurosurgeon at your place.
@KirtiSharma-nh9xg
@KirtiSharma-nh9xg 2 жыл бұрын
Sir my prolactin is 62.5 ml and I am suffering from 3.5*2.8mm microadenoma Sir can you tell me kya yh med. se thik ho jayega ya mje radiation therapy lni pdegi?
@TheBrainDoc_talks
@TheBrainDoc_talks 2 жыл бұрын
Value of 62.5 ka matlab prolactinoma tho nahi ho sakta. Medical management prolactinoma me karte ha. In your case either just follow up with regular MRI scan or operate. Pls get a complete hormone analysis and vision field charting ...consult a Neurosurgeon at your place . He /She will consider all the above things and advise the best mode of treatment for you.
@KirtiSharma-nh9xg
@KirtiSharma-nh9xg 2 жыл бұрын
@@TheBrainDoc_talks sir mne prolactin k 2 test krwaye the Frst day 62.5 aya 2nd day 36.5 aya Ab neurosurgeon ne bola ki mje ek aur prolactin test krwana chahye kyunki difference bhut zada h Aur unhne bola 62.5 ml itna zada prolactin ni h toh mje prolactinoma toh ni ho skta Aur 3.5*2.8mm itna chota microadenoma h jo mri me dikhna bhut mushkil hta h deeply image lni pdti h uski Unke hisab se mje microadenoma ni ho skta Agr h b toh unhne bola prolactin ki med hi uska treatment h jo mje ase b leni h
@TheBrainDoc_talks
@TheBrainDoc_talks 2 жыл бұрын
I think I misread the size...ye tho bht chota ha ...operate nhi kar sakte ..milega hi nahi operation me ...tablet le sakte ho prolactin kam karne keliye if you are having symptoms because of it ..if not just regular follow up MRI bhi kaafi h
@KirtiSharma-nh9xg
@KirtiSharma-nh9xg 2 жыл бұрын
@@TheBrainDoc_talks kya prolactin ki med se yh bilkul khtm ho jayega?
@KirtiSharma-nh9xg
@KirtiSharma-nh9xg 2 жыл бұрын
Sir me 0.5 mg cabergoline le ri hu Jbse usko le ri mje chest me pain ho ra max. Right side pr Thoda thoda khud hi hta h khud hi thik ho jata h thodi der bad Ab smj ni a ra yh mje med. Ki wjh se ho ra ya acidity ki prblm ho ri med. Se But phle kbi mje pain ni hua chest pr
@jakedushane3329
@jakedushane3329 2 жыл бұрын
I wish I could understand what you’re saying 😔
@TheBrainDoc_talks
@TheBrainDoc_talks 2 жыл бұрын
I am sorry, do you mean it was too fast/lot of technical jargons ? Ur feedback would be much appreciated
@valli4369
@valli4369 2 жыл бұрын
My prolactin level was 150... initially when I checked and was diagnosed with microadenoma last year. But now my prolactin levels are normal from almost 10 months And I'm not on any medication as well.. Will the adenoma shrink on its own sir?
@TheBrainDoc_talks
@TheBrainDoc_talks 2 жыл бұрын
Levels upto 150 are not diagnostic of prolactinoma...this much increase can be because of multiple causes ..kindly also get your other hormone levels evaluated mainly thyroid profile, cortisol and growth hormone . Though I don't expect these to be abnormal now, by testing you will have a clear base line which can be used for reference in the future . Also you need to get your visual field charting done again to have as a baseline for future reference. Yearly follow up MRI should be enough unless you have some drastic changes in your symptoms
@valli4369
@valli4369 2 жыл бұрын
@@TheBrainDoc_talks my thyroid report is normal sir and also my cortisol levels are normal and vision field test for eye is also good doc said me....only I have headache Will there possibility of microadenoma to shrink on its own?
@TheBrainDoc_talks
@TheBrainDoc_talks 2 жыл бұрын
Shrinking on its own is unlikely but it can remain the same without giving you any trouble. Hence just follow up MRI should be sufficient . Headache may or may not be related to this
@divyalamichhane5201
@divyalamichhane5201 2 жыл бұрын
What you did mam I am also diagnosed by microadenoma medication is enough or surgery should be done
@divyalamichhane5201
@divyalamichhane5201 2 жыл бұрын
Plz reply 😢
@justerinthings9686
@justerinthings9686 2 жыл бұрын
Thank you for this. I was told today I likely have a growth because one of my hormones (Prolactin) is 500 times the amount it should be. Waiting for further tests (MRI) and referral to specialists.
@TheBrainDoc_talks
@TheBrainDoc_talks 2 жыл бұрын
Yes pls get MRI brain to get a clear picture of the disease
@TheBrainDoc_talks
@TheBrainDoc_talks 2 жыл бұрын
You could also watch this specific video on prolactin secreting pituitary adenoma ( prolactinoma) kzfaq.info/get/bejne/hr6PabBj28DNep8.html
@comluth2707
@comluth2707 2 жыл бұрын
Did you get the mri test , what are the results
Don't eat centipede 🪱😂
00:19
Nadir Sailov
Рет қаралды 22 МЛН
Stupid man 👨😂
00:20
Nadir Show
Рет қаралды 29 МЛН