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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Diagnosed With Craniopharyngioma, Swelling In Forehead Near Eye And Nose. Underwent Craniotomy And Radiotherapy. What Is Wrong?

Good morning. I will try to summarize. I was Dx with a craniopharyngioma and underwent a craniotomy in June 2010 to have it removed. It recurred and in January 2011 I underwent transsphenoidal surgery to again remove it, followed by six weeks of radiotherapy. Ever since the first surgery I have experienced swelling of my forehead over my right eye. At least once or twice a month. However, with the heat the swelling increases. This summer the swelling is happening right over the bridge of my nose, in the center of the forehead, reaching a size and shape that resembles half an egg. When the swelling goes down my eyes are bruised and puffy for a couple of days. This is now happening on a weekly basis with at least 3-4 days of swelling. None of my doctors can seem to find an explanation. I am very worried. Any help would be appreciated. Thank you.
Thu, 22 Aug 2013
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Radiologist 's  Response
hi dear
thanks for choosing HCM

the swellings which appear off and on are usually HERNIAS or vascular swellings

1. get a fresh CTscan of brain . you have not mentioned the cranial approach during the first surgery .it could be a herniation from the craniotomy site

2 if it is a vascularised swelling get a contrast enhanced CT.

bruising and puffiness after subsidence of swelling points more toward herniation as reduction of the mass would increase the intracranial pressure

good luck






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Diagnosed With Craniopharyngioma, Swelling In Forehead Near Eye And Nose. Underwent Craniotomy And Radiotherapy. What Is Wrong?

hi dear thanks for choosing HCM the swellings which appear off and on are usually HERNIAS or vascular swellings 1. get a fresh CTscan of brain . you have not mentioned the cranial approach during the first surgery .it could be a herniation from the craniotomy site 2 if it is a vascularised swelling get a contrast enhanced CT. bruising and puffiness after subsidence of swelling points more toward herniation as reduction of the mass would increase the intracranial pressure good luck