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Author Archives: kkc

Treatment Options for Nelson’s Syndrome

Question: I have Nelson’s syndrome (aggressive enlargement of an ACTH secreting pituitary tumor following a bilateral adrenalectomy) and radiation has not been effective. The tumor is creating problems with my vision. What are my treatment options? Answer: Since the pituitary tumor has enlarged to affect the nerves that control eye movements or eyesight, the firstContinue Reading

Sinus Infections After Pituitary Surgery

Question: I had transsphenoidal surgery over 4 months ago. I’ve had a horrible smell in my nose and continually run a fever. The MRI shows “sinusitis”. How often do sinus infections happen following surgery? What will help? Answer: This sounds like a post op nasal or sinus infection. It usually takes care from a goodContinue ReadingContinue Reading

Pituitary Tumor and Enlarged Adrenal Glands

Question: I had Cushing’s due to a pituitary tumor and also have enlarged adrenal glands which I was told was due to excess exposure to ACTH over a long period of time. My question is, since I have enlarged adrenal glands, will my cortisol always run higher than normal? Answer: It is correct that whenContinue Reading

Pituitary Surgery and Headaches

Question: How long is it “normal” to have a headache following pituitary surgery? Also, if a headache persists longer than that, what should the patient do? Answer: Post operative headache of a persistent nature is rare after trans-sphenoidal surgery. The most common cause for early headache in the first 2 weeks after surgery is dueContinue Reading

Dual Functioning Pituitary Tumor

Question: I was diagnosed with a large prolactinoma, started cabergoline and am now experiencing some symptoms that make me wonder if I could also have Cushing’s. Is it possible for a pituitary tumor to secrete both prolactin and ACTH? If so, what effect, if any, will the cabergoline have on testing for Cushing’s? Could theseContinue Reading

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