Medical Timeline

Early Medical History

2004

  • Thyroid nodule identified

2005

  • Hypothyroidism diagnosed

  • Intractable migraine disorder begins

2006

  • Vasovagal syncope with episodic dizziness and near-syncope

Spine, Neurologic, and Sleep-Related Developments

2011

  • Cervical degenerative disc disease identified

2013

  • Post-operative hypothyroidism following thyroid surgery

2014

  • Insomnia develops

  • Pituitary macroadenoma identified on imaging

Neurologic Diagnosis and Progression

2015

  • Multiple sclerosis diagnosed

  • Hyperlipidemia diagnosed

2016

  • Peripheral neuropathy

  • Trigeminal neuralgia, left side of face

  • Occipital neuralgia, left side

  • Benign essential hypertension

  • Cervical spondylosis with progression of degenerative changes

2017

  • Idiopathic progressive polyneuropathy

  • Pituitary macroadenoma surgically resected

  • Continued neurologic symptoms despite endocrine treatment

Metabolic and Systemic Conditions

2018

  • Type 2 diabetes mellitus diagnosed

Autonomic Evaluation

2021

  • Tilt-table testing performed for syncope and dizziness

    • Mild blood pressure drop noted

    • Symptoms reproduced

    • No diagnostic arrhythmia identified

Intracranial Imaging Findings (Separate From Pituitary Disease)

2017–Present (Serial Imaging)

  • Stable left middle cranial fossa meningioma, under radiographic surveillance

  • Stable punctate enhancing focus in the right Meckel’s cave, likely representing a tiny schwannoma or meningioma, under surveillance

These intracranial lesions are anatomically and pathologically distinct from the pituitary macroadenoma and are monitored independently.

Musculoskeletal and Structural Findings

2018–Present

  • Anterior cervical discectomy and fusion (C5–C7) with postsurgical changes

  • Multilevel degenerative disc disease involving the cervical, thoracic, and lumbar spine

  • Left hip bursitis

  • Temporomandibular joint disorder (TMJ)

Recent and Ongoing Diagnoses

2024

  • Osteoporosis diagnosed

  • Blepharitis diagnosed

2025

  • Vasomotor rhinitis diagnosed

Current Clinical Status (Summary)

At present, the case is characterized by:

  • Multisystem involvement (neurologic, endocrine, autonomic, musculoskeletal, metabolic)

  • Progressive neurologic and pain-related symptoms

  • Persistent functional limitation despite disease-specific management

  • Ongoing surveillance of three separate intracranial lesions

Notes on Timeline Interpretation

  • Dates reflect initial diagnosis or identification, not necessarily symptom onset

  • Conditions have accumulated over time with overlapping symptom burden

  • This timeline is intended to support longitudinal review and pattern recognition