Can pituitary tumors cause headaches?

Written by Chen Yu Fei
Neurosurgery
Updated on September 05, 2024
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For patients with pituitary tumors, headaches may occur. Most patients in the early stages often experience mild headaches located behind the eye sockets, the forehead, and on both sides of the temporal area. These headaches are generally tolerable and occur intermittently. They are mostly caused by the stimulation of the tumor or the increased pressure inside the sella. When the tumor enlarges to a certain extent and breaks upward through the diaphragm sellae, headaches are often alleviated. However, if the tumor further grows into surrounding tissues, it might compress important blood vessels and nerves, resulting in recurring pain with increasing severity.

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Written by Chen Yu Fei
Neurosurgery
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Can pituitary tumors cause headaches?

For patients with pituitary tumors, headaches may occur. Most patients in the early stages often experience mild headaches located behind the eye sockets, the forehead, and on both sides of the temporal area. These headaches are generally tolerable and occur intermittently. They are mostly caused by the stimulation of the tumor or the increased pressure inside the sella. When the tumor enlarges to a certain extent and breaks upward through the diaphragm sellae, headaches are often alleviated. However, if the tumor further grows into surrounding tissues, it might compress important blood vessels and nerves, resulting in recurring pain with increasing severity.

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Written by Chen Yu Fei
Neurosurgery
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Is pituitary tumor surgery done under general anesthesia?

For patients with pituitary tumors, general anesthesia is typically recommended for surgery. Clinically, a combined inhalational and intravenous anesthesia approach is adopted for treatment. Before surgery, anesthesia induction is carried out to stabilize the patient, who then undergoes tracheal intubation for general combined anesthesia. As the surgery nears completion, appropriate medication may be used to help shorten the anesthesia process. After the surgery is fully completed, the patient is transferred to the recovery room. Once the anesthetic drugs are gradually metabolized and consciousness returns to clarity, the tracheal tube is effectively removed.

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Written by Chen Yu Fei
Neurosurgery
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Is a 2cm pituitary tumor big?

In the case of pituitary tumors, if the size reaches two centimeters, it is relatively large. Under normal circumstances, pituitary tumors can be classified into several types based on their size: microadenomas are generally smaller than one centimeter, macroadenomas are larger than 1.0 centimeter, and giant adenomas are larger than 3.0 centimeters. Usually, a two-centimeter pituitary tumor is already considered a macroadenoma. Normally, such large pituitary tumors often compress the surrounding pituitary tissue, causing hypofunction of the pituitary tissue and significant hormonal disturbances, which can lead to a range of uncomfortable symptoms and signs in patients.

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Written by Chen Yu Fei
Neurosurgery
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Is a pituitary tumor serious?

Pituitary tumors are mostly benign. The tumors grow slowly, but due to their special location adjacent to the pituitary gland, when the size of the pituitary tumor increases to a certain extent, it will inevitably affect the pituitary, impairing its function and leading to pituitary dysfunction. This dysfunction manifests as endocrine hormonal imbalances, resulting in a series of symptoms and signs. Therefore, it is usually recommended to treat pituitary tumors surgically. Clinically, it is generally advised to choose the transnasal transsphenoidal approach for complete resection of the pituitary tumor.

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Written by Chen Yu Fei
Neurosurgery
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Pituitary tumors are located in the pituitary gland.

Pituitary tumors are benign tumors that grow slowly, mostly within the pituitary fossa. Due to their proximity to the pituitary gland, small pituitary tumors generally do not show obvious symptoms. However, as the tumor size increases, it can easily compress the pituitary gland, affecting its function, resulting in pituitary dysfunction and causing an endocrine hormone disorder. This leads to a variety of symptoms and signs in patients. A cranial CT or MRI, including an enhanced MRI scan of the pituitary, can reveal a high-density shadow in the pituitary fossa, indicating the presence of an intracranial mass.