Conversation: The conversation between human and AI assistant.
[|Human|] 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.
[|AI|]  Hi dear thanks for choosing ChatDoctorthe swellings which appear off and on are usually HERNIAS or vascular swellings 1. Get a fresh CT scan of brain. You have not mentioned the cranial approach during the first surgery .it could be a herniation from the craniectomy site 2 if it is a vascularized 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