PATIENT STORIES

BRAIN PATIENT STORIES

Adenoma Story: Seeing Clearly Again After Pituitary Tumor Removal

Jimmie Battle, of Trotwood, a retired electrician first visited his eye doctor when he began having symptoms such as an inability to see at night and a reduction in peripheral vision. Jimmie thought he might have a cataract.

But an ophthalmologist referred him for an MRI and an appointment with Dr. Theodore Bernstein, a neurosurgeon with Neurosurgery, Inc. Subsequently it was discovered a pituitary tumor was causing Jimmie's vision problems.

The pituitary gland secretes several essential hormones. Tumors in this gland account for about ten percent of all primary brain tumors, according to Dr. Bernstein.

"Tumors arising from the pituitary gland are called adenomas, and are generally benign and slow growing. They can be found at any age but tend to increase as we get older," he says.

Treating tumors like Jimmie's requires a team of physicians and medical professionals, including a neurosurgeon, otolaryngologist (ear, nose and throat specialist), endocrinologist and ophthalmologist.

"Patients receive baseline testing to determine visual fields and hormones. These tests determine the best course of treatment," explains Dr. Bernstein.

Jimmie initially had his tumor removed via surgery. When a pituitary tumor is found, either microscopic or endoscopic transphenoidal (through the nose and sinuses) surgery can be used. In Jimmie's case, additional radiation treatments were necessary.

Dr. Bernstein also utilizes intra-operative scans and advanced technology called STEALTH to assure the precise location of tumors and minimize complications during and after surgery.

Upon waking up from his operation, Jimmie noticed an immediate and dramatic change. He could see proper distances, his periphery vision returned, and his depth perception was normal. Jimmie was told by doctors treating him that the body can make adjustments when tumors affect vision; that's why he didn't realize things were as bad as they were and saw such a difference after surgery.

Since surgeons could only remove about 95 percent of the tumor due to its location, Jimmie will remain under their care for careful monitoring.

Dr. Bernstein said, when tumors like Jimmie's arise, Kettering Health Network (KHN) can offer the best treatments available.

Marilyn Reed, BSN, RN, a neuro nurse specialist with KHN, said both microscopic and endoscopic transphenoidal surgery are available at Kettering Medical Center. "Jimmie's back to doing all the things he was before. We do these surgeries all the time with good success."