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Post by vehementlyalive on Feb 10, 2009 22:29:18 GMT -5
This is the MRI report I got from an endocrinologist I saw several months ago (who I fired due to his incompetence). I just picked up the copy of this today and found it interesting considering the fact I was in a pretty severe car accident around age 6, but was only diagnosed with a concussion at the time. So, with all the hormonal stuff that's going on, I'm wondering if there is a correlation/causation... Technique: Routine brain and sella MRI without and with 20cc intravenous Magnevist protocol. Indication: Hypogonadism Result: Brain and sella MRI without and with contrast. The pituitary stalk appears somewhat thin and attenuated. There is no significant deviation of the pituitary stalk. The pituitary gland is normal in size and shape. The pituitary gland enhances fairly homogeneously. Diffusion images demonstrate no large acute infarct within the brain. No intracranial mass effect is present. No extra-axial fluid collections are seen. The ventricles and sulci are normal. The hypothalamus region appears unremarkable. Impression: 1) No acute intracranial findings. 2) The pituitary gland is normal in size and shape and enhanced homogeneously. 3) The pituitary stalk appears somewhat thin and attenuated and a previous pituitary stalk injury cannot be excluded. Chris, Lethal, any thoughts? Thanks in advance.
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Post by justaustin on Feb 11, 2009 7:28:18 GMT -5
Glad you fired the endo!!
Head trauma/whiplash injuries can be enough to result in damage to the pituitary stalk. Damage to the stalk can result in disruption to the HPA axis... with subsequent hormonal deficiencies. I do believe this is a piece to your puzzle.
Laurie
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Post by vehementlyalive on Feb 11, 2009 20:57:51 GMT -5
Thanks. Well, I've forwarded it to the current provider I'm seeing who has at least started me on Cortef and DHEA, and will retest labs in a couple more weeks to see what is happening to the rest of the hormones. If there is damage to the pituitary stalk, do I need to see a Neurologist or anything of that nature, or any further imaging/scans to rule anything else out? What should be the next course of action given this new piece of info? Thanks in advance!
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Post by vehementlyalive on Feb 12, 2009 11:15:55 GMT -5
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Post by justaustin on Feb 13, 2009 13:42:43 GMT -5
I think you need to be paid a consultant's fee. You are onto something. Sorry the other "professionals" couldn't get to the bottom of things. Good Job, By the way. As I told Crystallin, " If it looks like a duck and quacks like a duck, it's likely a duck." Have a great day! Laurie
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