How JustAnswer Works:

  • Ask an Expert
    Experts are full of valuable knowledge and are ready to help with any question. Credentials confirmed by a Fortune 500 verification firm.
  • Get a Professional Answer
    Via email, text message, or notification as you wait on our site.
    Ask follow up questions if you need to.
  • 100% Satisfaction Guarantee
    Rate the answer you receive.

Ask healthydoc Your Own Question

healthydoc
healthydoc, Board Certified Physician
Category: Neurology
Satisfied Customers: 1986
Experience:  Board Certified U.S. Neurologist
55821379
Type Your Neurology Question Here...
healthydoc is online now

I am having cyst or empty sella syndrom in pituitary gland

Customer Question

I am having cyst or empty sella syndrom in pituitary gland with excruciating headaches
I am looking for specialist who specialized in pituitary disorders
What I should do?
Thank you
Submitted: 3 years ago.
Category: Neurology
Expert:  healthydoc replied 3 years ago.

healthydoc :

Hello and thank you for your question. Where do you live and how far are you reasonable willing to travel for evaluation?

JACUSTOMER-k3vuvy4i- : In Toronto
healthydoc :

What tests have you had so far?

JACUSTOMER-k3vuvy4i- : In Toronto we can travel as far as we need as long as we can meet specialist in pituitary disorders
healthydoc :

And what tests have you had so far?

JACUSTOMER-k3vuvy4i- : Emori with IV injection
healthydoc :

Why was the MRI perfromed? Have they checked hormone levels in the blood to see if the the pituitary is making the right amount of hormones?

JACUSTOMER-k3vuvy4i- : MRI was done because of headaches on right side with some fluid dripping from right nostril
JACUSTOMER-k3vuvy4i- : There is history of low testosteron and blue strips on the sides difficulty to loose weight
JACUSTOMER-k3vuvy4i- : As for now testosterone in normal low range prolactin is normal
JACUSTOMER-k3vuvy4i- : Heav two healthy children
healthydoc :

Oh i see. Well it is important to figure out if this needs to be operated on. Also it is important to know if there are problems with hormone production by the pituitary. It is usually best to get evaluated by a neurosurgeon who specializes in pituitary procedures.

JACUSTOMER-k3vuvy4i- : How we can find neurosurgeon who specialized in pituitary procedures and how we can get an appointment
healthydoc :

1) Salvatore Di Maio in Montreal is a pituitary surgeon. 2) Fred Gentili, M.D., MSc., FRCSC is in toronto

healthydoc :

these guys are specialists

healthydoc :

in pituitary problems

JACUSTOMER-k3vuvy4i- : We are checking hormone levels with family physician
healthydoc :

Ok that's good

healthydoc :

If horomone levels are good and if it is not a pituitary tumor (adenoma) than surgery may not even be necessary

JACUSTOMER-k3vuvy4i- : We are hoping that is not necessary but we cannot live with this headaches and it looks like cyst getting bigger and can pres on the gland that is why we need consultation with neurosurgeon before damage will be unreversable
healthydoc :

Sounds very reasonable

healthydoc :

I would use this website to find a doctor that you feel comfortable traveling to https://www.pituitary.org/medicalresources/physicians.aspx?state=ALL&country=ALL

healthydoc :

There are all well respected pituitary specialists

healthydoc :

I would pick a neurosurgeon as that would be the next logical step

JACUSTOMER-k3vuvy4i- : Can you find name and telephone such a specialist That was a reason for our appointment
healthydoc :

of course

healthydoc :

Fred Gentili, MD, MSc, FRCSC
Tel: 416 603-5250
Fax: 416 603-5298
Email: [email protected]

healthydoc :

In Toronto

healthydoc :

May be your best bet'

JACUSTOMER-k3vuvy4i- : Thank you
healthydoc :

My pleasure and good luck

healthydoc :

If I have answered your questions please rate my answers positively. That would be greatyl appreciated

What Customers are Saying:

 
 
 
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
< Previous | Next >
  • I feel so much better today, and upon further investigation believe that there is a chance that the responses I got saved me FROM a serious, even life threatening situation. I am very grateful to the experts who answered me. Susan O.
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
  • This expert is wonderful. They truly know what they are talking about, and they actually care about you. They really helped put my nerves at ease. Thank you so much!!!! Alex
  • Thank you for all your help. It is nice to know that this service is here for people like myself, who need answers fast and are not sure who to consult. GP
  • I couldn't be more satisfied! This is the site I will always come to when I need a second opinion. Justin
  • Just let me say that this encounter has been entirely professional and most helpful. I liked that I could ask additional questions and get answered in a very short turn around. Esther
  • Wonderful service, prompt, efficient, and accurate. Couldn't have asked for more. I cannot thank you enough for your help. Mary C.
 
 
 

Meet The Experts:

 
 
 
  • Dr. F

    Dr. F

    Board Certified MD

    Satisfied Customers:

    266
    Neurosurgeon with more than 20 years experience in practice and teaching.
< Last | Next >
  • http://ww2.justanswer.com/uploads/BrainLifeDoc/2010-10-04_004701_AMF_2008_2_pix.jpg Dr. F's Avatar

    Dr. F

    Board Certified MD

    Satisfied Customers:

    266
    Neurosurgeon with more than 20 years experience in practice and teaching.
  • http://ww2.justanswer.com/uploads/TO/TOHfan1/2012-3-3_11610_strokedoc.64x64.jpg Stroke Doc's Avatar

    Stroke Doc

    Board Certified Physician

    Satisfied Customers:

    41
    I am board-certified in Neurology and the subspecialty Vascular Neurology.
  • http://ww2.justanswer.com/uploads/PR/pradocs/2012-7-23_23649_201272323220JApicture105x113.64x64.jpg Dr. Bob's Avatar

    Dr. Bob

    Neurologist (MD)

    Satisfied Customers:

    1493
    Neurology & Int Medicine (US Trained): 20 yrs experience
  • http://ww2.justanswer.com/uploads/HE/healthydoc/2011-7-22_193154_LevGrinman2.64x64.jpg healthydoc's Avatar

    healthydoc

    Board Certified Physician

    Satisfied Customers:

    325
    Board Certified U.S. Neurologist
  • /img/opt/shirt.png RH's Avatar

    RH

    Board Certified Neurologist

    Satisfied Customers:

    1944
    Expert in various areas of Neurology
  • /img/opt/shirt.png Brainmaster's Avatar

    Brainmaster

    Board Certified MD

    Satisfied Customers:

    58
    ABPN certified. 6 years of outpatient general neurology practice experience. No malpractice cases
  • /img/opt/shirt.png braindr11's Avatar

    braindr11

    Board Certified Physician

    Satisfied Customers:

    43
    Neurologist with outstanding expertise