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
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
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
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.
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 ???
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
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
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?
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?
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.
@@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
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
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
I have 3 mm Pituitary Adenoma with normal prolactin (monitored over three months of time), Serum Cortisol (9.1), TSH (1.5)...My endocrinologist says its an incidental pituitary adenoma and to be monitored every year for if it grows. Kindly guide how I may go about it?
I am 40+ year male , diagnosed with low-t and the further diagnosis led to the discovery of microadenoma (MRI) , also my prolactin levels are slightly high. Can you suggest next step for treatment
Dr I had Vision loss in Left Eye in 2009 In 2023 I Developed a Pituory Tumour I'm on Dostinex Why I lost Vision in 2009 When Tumour only Happened in 2023. Any Ideas Thanks
Hello doctor , Hope you are doing good ! please guide me further . One month back, I had my prolactin test check and my result was 40 in the reference of 5 to 20 and after one month, I have checked again then it was 256 with the with the same reference and then after one week, I again tested and result was 8 with the reference of 5 to 20 ,on my first test I had 1.5 hours empty stomach after waking up and the second test I had like 2.5 hour after waking up, but I took Pantoprazole before the test then third test was like four hours after waking up empty stomach. so is there any possibility that I might have the pituitary adenoma or last test was normal so I should not be getting any further test? please respond.
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🙂
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.
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 😇
Sir my father recently lost vision from left eye, by MRI diagnosed Macroadenoma(~2.8AP,3.1 TR,4.8CC ) Doctor suggested surgery to remove it. Can it will be safe? And vision will be regained or not ? Macroadenoma compresses optic chiasma…… plz sir reply me
Wow...this is succinctly well explained while I am about to attempt an exam question on the endoscopic transphenoidal removal of a pituitary adenoma.👏👏👏
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
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?
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?
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.
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???
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.
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
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!
As it's a bit more technically advanced topic, I am planning to put it up on my exclusive Neurosurgery channel within a wk, once I put I will share the link or you can check out that channel where it ll be published soon youtube.com/@letslearnneurosurgery?si=DmlCnCq9EIO_4fIe
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
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.
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
@@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
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
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
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
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 )
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???
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
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
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 .
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
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?
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
@@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 .
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
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
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.
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
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?
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 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 ...😐😐
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
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..
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 .
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..
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
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
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
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?
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
@@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?
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
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.
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
Brilliant video sir. Such lucid and clear explanation.
Thank u for the video!!!
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
Any symptoms related to hyperprolactinemia ? If she has, then better to take cabergolin/bromocriptine
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
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.
All other reports are normal.
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 ???
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
@@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 .
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
cannot understand too fast for my brain
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?
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
@Health and Wellness Thank you so much , I appreciate it .
Did you had the test one time ? Or multiple ?? And did you have complete 4 hours of gap after waking up and taking the test ?? Please respond
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?
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.
@@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
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
@@TheBrainDoc_talks kya prolactin ki med se yh bilkul khtm ho jayega?
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
I have 3 mm Pituitary Adenoma with normal prolactin (monitored over three months of time), Serum Cortisol (9.1), TSH (1.5)...My endocrinologist says its an incidental pituitary adenoma and to be monitored every year for if it grows. Kindly guide how I may go about it?
I am 40+ year male , diagnosed with low-t and the further diagnosis led to the discovery of microadenoma (MRI) , also my prolactin levels are slightly high. Can you suggest next step for treatment
Dr I had Vision loss in
Left Eye in 2009
In 2023
I Developed a Pituory Tumour
I'm on
Dostinex
Why
I lost Vision in
2009
When
Tumour only
Happened in
2023.
Any Ideas
Thanks
Hello doctor ,
Hope you are doing good !
please guide me further .
One month back, I had my prolactin test check and my result was 40 in the reference of 5 to 20 and after one month, I have checked again then it was 256 with the with the same reference and then after one week, I again tested and result was 8 with the reference of 5 to 20 ,on my first test I had 1.5 hours empty stomach after waking up and the second test I had like 2.5 hour after waking up, but I took Pantoprazole before the test then third test was like four hours after waking up empty stomach. so is there any possibility that I might have the pituitary adenoma or last test was normal so I should not be getting any further test? please respond.
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🙂
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
Excellent presentation. Work in primary care, and this was very informative and helpful.
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.
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 😇
What is it exactly?
Is it a tumor?
Sir my father recently lost vision from left eye, by MRI diagnosed Macroadenoma(~2.8AP,3.1 TR,4.8CC ) Doctor suggested surgery to remove it. Can it will be safe? And vision will be regained or not ? Macroadenoma compresses optic chiasma…… plz sir reply me
Wow...this is succinctly well explained while I am about to attempt an exam question on the endoscopic transphenoidal removal of a pituitary adenoma.👏👏👏
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
Did you have proper 4 hours of empty stomach before the test ?
Great Neurosurgeon Dr Skanda Moorthy ❤❤
What should I do next ???
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?
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?
Please respond
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.
very interesting thanks dr
lam use bromocriptine 1.25
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???
Cabergolin start karna hoga.... Neurosurgeon ko consult kariye
@@TheBrainDoc_talks sir kya yh jyada hai?? Surgery krani hogi??? Please reply kr dijiyega doctor ne yhi medicine di hai
Thank you! I needed to understand more clearly. Much appreciated video
My prolactin level is 138 and I am on taking bromocriptine. Does it have a side effect?
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.
Did you take the test after 4 hours after waking up ??
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
Hi did the medicines helped you to overcome your tumour.
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!
❤
Hello sir ... such a good class I need to understand more about the csf leakage...can I get any information about that csf leakage through nose
As it's a bit more technically advanced topic, I am planning to put it up on my exclusive Neurosurgery channel within a wk, once I put I will share the link or you can check out that channel where it ll be published soon youtube.com/@letslearnneurosurgery?si=DmlCnCq9EIO_4fIe
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
Which medicine eat please tell me my wife same problem
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.
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
sir i oprate my pituitary adenoma 2016 my harmonal reports are normal.but i feel problem in feet pain
Problem in the feet is very very unlikely to be related to your pituitary surgery
sir some i feel uti problem and Bering feet
They are totally unrelated to your pituitary surgery. Kindly get a fresh consultation for these at your place.
@@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
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
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
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
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 )
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???
Yes definitely you should get Contrast MRI of the Brain
Sir!what is the estimated cost of macroadema surgery (acromegaly)?
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
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
@@TheBrainDoc_talks sir need your contact details, my sister is suffering from this micro adenoma. Need ur help for treatment.
Really informative a layman like
me. PGI Chandigarh performed excellently in d case of my daughter
Glad to know that :)
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
.
I am blind and it is due to the pituitary in the brain 🧠.
Which treatment you choose@@memesissydollar3080
@@memesissydollar3080please suggest me
Can I eat curd does it have any side effects
Sir is there a way I can speak to you about this problem.
Sorry currently I don't do online consultation
helo sir mere mummy macroadenoma hai unka aak baar operation bhi ho chuka hai pr ,, tumor dubara sey vaps aa gya hai ,,
Fir kya kiya..mera bhi same hai
@@k.harry101 doctor k passs jayo alg alg treatment k barey mein pta kro
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
Please get a MRI brain, vision field and consult a Neurosurgeon
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
What are the life chances and treatment chances please tell me
It's regrown after 2011 operation
What's the size of the tumor ? If it's causing all those problems then definitely it needs to be reoperated
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?
My blood sugar levels were normal
Have you got MRI brain? Pls get MRI brain so that it will be clear whether you have pituitary adenoma or not
I have a cyst in my pituitary gland messuring 6 x 13 x 4 mm. Will this affect my hormones?
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
@@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 .
Sir my prolactine level is 55...is there any chance of this tumor?
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
Excellent... Please continue with other brain tumors and aneurysm topic
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
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.
Can I visit you for further follow ups pls
If you are around Mangalore, You can consult me at First Neuro Hospital Mangalore.
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
I wish I could understand what you’re saying 😔
I am sorry, do you mean it was too fast/lot of technical jargons ? Ur feedback would be much appreciated
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?
Yes prolactinoma is one of the possibility
@@TheBrainDoc_talks Thank you sir.Do I need any MRI for confirmation of any adenoma?
Before that pls test prolactin levels. If it's elevated then you definitely need MRI brain to look for pituitary adenoma
@@TheBrainDoc_talks Thank you doctor
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 😥
Sorry to hear that, difficult to comment without knowing the exact details..your operating surgeon would be the best person to guide you .
My Brother has 9 mm is their any solution..
Yes pls get a complete hormone profile, visual field charting and consult a Neurosurgeon at your place.
Can tumor be left unseen in MRI?
Yes if they've set the thickness and distance present at a certain distance they can miss out some growths
Pituitary malignancy it possible
Yes but very very rare
What are the side effects of cabergoline? 4mm microadenoma , do i need medication? My testosterone is becoming low
Prolactin level ?
@@TheBrainDoc_talks 245
Yes low dose cabergolin can be started and value be repeated after 6 wks . It's usually well tolerated
@@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 ...😐😐
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
Better to do MRI brain and confirm
@@TheBrainDoc_talks thank you sir
👏👏👏
This vidio please translet in hindi.
Hanji ab ban gaya Hindi me bhi
ua-cam.com/video/e4gDzVzzYYw/v-deo.html
Cyber knife is useful for this tumors sir?
Yes can be given for residual tumor
@@TheBrainDoc_talks ok Thanks 😊
Ciber knife is safe for me any side effects of ciberknife???I'm 41 year lady
Will depend on exact location and proximity to cranial nerves. The dose ll be calculated accordingly by your Neurosurgeon
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..
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 .
@@TheBrainDoc_talks thanks doctor..
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..
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
Thank you doctor
Thank you, Doc!!
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
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
@@TheBrainDoc_talks thank you so much. Yes my next appointment is September 15.
Ab kya hall hai
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?
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
@@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?
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
What you did mam I am also diagnosed by microadenoma medication is enough or surgery should be done
Plz reply 😢
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.
Yes pls get MRI brain to get a clear picture of the disease
You could also watch this specific video on prolactin secreting pituitary adenoma ( prolactinoma) ua-cam.com/video/PX_6M2vZiJk/v-deo.html
Did you get the mri test , what are the results