What causes headaches after pituitary macroadenoma surgery?

Question

Hello doctor,

This query is regarding my husband's health. Three months back, my husband underwent surgery for a pituitary macroadenoma. He was advised to take Hisone steroid tablet for three months. But he has a headache on and off. He has gained 19.8 pounds in three months, despite eating very little. Yesterday, we took the third-month follow-up MRI (Magnetic Resonance Imaging) scan, and I wanted to share the following findings in the MRI report.

Post-operative changes noted in the sphenoid sinus and sellar fossa. The pituitary stalk is mildly deviated to the left side. No evidence of enhancing residual and recurrent tumor was seen. Polypoidal mucosal thickening was noted in the bilateral maxillary, ethmoidal, and right frontal sinuses. Also when I look at the scan films, near the pituitary gland few residual part of the tumor is seen.

I am requesting you to have a look at my query and respond to me on how the report looks. I am more anxious to know about this.

Please help me to understand the current status of my husband's health.

Answer 1

Hello,

Welcome to icliniq.com.

The MRI (attachment removed to protect patient identity) does not show a residual or recurrent tumor, as per what you have written as part of the MRI report. Hisone (Hydrocortisone) is a steroid supplement for hormonal imbalances, which may occur after pituitary surgery.

The so-called 'residual tumor', which you have interpreted, may be postoperative changes that are common after pituitary surgery. If the four points that you have written are what was written on the report, then you should not worry. Meet your operating surgeon for further advice regarding Hisone, which may cause weight gain.

I hope this helps you.

Thank you.