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New Message on Pituitary Chat

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From: PTResearcher2
Message 1 in Discussion


I know it's been a very long time since I've posted. I've been away from the 
message boards for a long time.  I don't know who will remember me, but I was 
diagnosed with a 1.6 cm non-secreting pituitary tumor in 2001.  I began getting 
sick at least 2 years before we found the tumor on an MRI.  I had quite a few 
symptoms and all the doctors I spoke to said that they didn't know why my 
pituitary tumor made me so sick.  I spoke to numerous doctors around the 
country and consulted with many specialists.  Since none of the doctors could 
tell me why my pituitary tumor made me so sick, and some even went so far as to 
say that it was just coincidental that I had a pituitary tumor and they didn't 
think the tumor had anything to do with my symptoms, I sought support from chat 
sites like this. There I found many others who suffered as I did and who were 
also being told the same thing.  I wrote a paper and called it Cini's Pituitary 
Syndrome.  I had come to the decision that what I had was an actual syndrome 
and that others suffered from it as well. I was shocked that no doctor had ever 
tried to write about this disorder. I never had the paper published, but I have 
sent it to many of my colleagues. I also sent it to Ann Klibansky, M.D. at MGH. 
 No one seemed particularily interested in helping me get the paper published 
or thought that it would help them to give patients like myself a diagnosis.  
Even though I didn't have a cure for what ailed me, I thought it would be 
useful for doctors to be able to give us a diagnosis.  I also believed that for 
those of us that became so sick with our pituitary tumors, that it was the 
tumors that caused this, but I couldn't tell how or why.  What is also 
interesting, is that there are other people who do not have pituitary tumors 
who have symptoms similar to us.  I suggested that Cini's Pituitary Syndrome 
was a spectrum of those who had many symptoms to those who had no symptoms at 
all and that you did not have to have a pituitary tumor to have the syndrome.  
I listed all the symptoms that we suffer from and suggested that if there were 
enough symptoms to consider that a patient has a diagnosis of Cini's Pituitary 
Syndrome, based on their symptoms alone, with or without confirmation of a 
pituitary tumor.  After I had surgery for my pituitary tumor, my symptoms 
improved, but I never fully recovered.  I asked many doctors if the pituitary 
tumor and or the surgery somehow caused damage to my brain or caused an 
increase pressure in the brain. No one could answer that question and nothing 
showed up on my MRI.  I also noticed that I had many of the symptoms of a 
condition called Chiari, but none of my doctors believed that is what I have.  
Over the weekend, I have found out that you can have a condition Chiari and 
that it doesn't always show up on MRI.  I also found out that there are only 
about 4 doctors in the country who can diagnose this form of Chiari and that 
there are many doctors who even debate if Chiari 0 is even a diagnosis.  Yet, 
when I read about the symptoms of chiari, I have all of them:  constant 
headache in the back of the head, headache exacerbated by sneezing and couging, 
valsalva induced vertigo, vertigo, dizziness, fatigue, neck and posterior 
occiput muscle tension, trouble swallowing, pains in extremities, gait 
disturbance, light sensitivity, trouble sleeping, and memory problems.  I share 
this with you, because I am convinced now that what I have been calling Cini's 
Pituitary Syndrome is most likely Chiari, that does not show up on MRI.  I am 
convinced that my pituitary tumor grew to a size that increased the pressure in 
my brain and led me to have all the symptoms of chiari.  I beleive I still 
suffer from that today.  I don't know if any of you are suffering as I have 
been but if you do, and if you ask your doctor if this is what you have, if it 
doesn't show up on MRI, then they will probably dismiss that you are also 
suffering from Chiari.  None the less, I believe, that pituitary tumors can 
cause this condition and that Chiari is a complication of pituitary tumors.  I 
believe that it is more common in women than in men, because, women and 
children have smaller skulls, smaller spaces and that the growing tumor can be 
more apt to cause this condition.  This explains why men can have much larger 
tumors before they become symptomatic.  I hope this helps you.  The treatment 
for chiari is either observation or if smptoms warrant it, surgery, however, 
surgery is only effective in 80% of the cases.  Again, I caution that if you 
talk to your doctors about this, 99% of doctors do not know how to diagnose 
chiari that does not show up on MRI.  I specifically asked many of my doctors 
if they thought I suffered from Chiari and not one did.  I hope this helps 
explain why some of us have so many of the same symptoms, yet so many different 
types of tumors.  I would like to add that I have been getting treatment with a 
doctor who treats headaches and vertigo with prisms. The prisms do help and I 
am more functional because of them, but I still have a number of issues.  I 
plan to have a consultation with one of the 4 specialists in the country who 
can diagnose this and see if they recommend surgery. I suspect that I will be 
very cautious and not rush to surgery since I can live with what I have.  I'll 
see what they say and let you know.

Sharon Cini 

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