Specific Options

After a detailed diagnostic evaluation, our multidisciplinary team works together to create a comprehensive, individualized treatment plan for the patient. The treatment plan may include: 

Careful observation: Some pituitary disorders may not require intensive treatment. Instead, we monitor MRI scans, EKGs, blood tests and response to medication throughout the patient’s life.

Medical therapy: Some disorders may respond to hormone replacement or other medications, avoiding radiation or invasive surgery.

Minimally invasive surgery: When surgery is required, it is performed through endoscopic approaches with no facial incisions or nasal packing.

Conventional radiation therapy: When pituitary tumors are surgically inaccessible or recurrent, conventional therapy or Gamma Knife radiosurgery (described below) can be used.

Gamma Knife (stereotactic) radiosurgery: A treatment that uses radiation in a precise way that spares normal,healthy tissue while pinpointing targets with high doses of
radiation. Gamma Knife is an effective, non-invasive alternative to traditional brain surgery.

Ophthalmic follow-up: The result of pituitary disease may be loss of peripheral vision, which may not always be apparent to the patient. Also, pituitary diseases (especially tumors in this area) can affect the ocular motor nerves causing double vision. Our team provides long-term, specialized ophthalmic follow-up care.