Cavernous angiomas, Tremors & Seizures

  I have been having seizures for the last 14 years. There was never any
  cause found and I am now on 330 mg. of dilatin. For several years I have
  had tremors in my left hand now I have head tremors. My Dr. thinks I having
  essential tremmors but he sent me for MRI's of the brain and the cervical spine
  The DX came back as having a most like begign 1.5 cm incidental cavernous
  angioma in the cortical aspect of the left frontal lobe and also an 8 mm.
  rounded hyperintense focus within the lower pons.  I have found information
  in your site about cavernous angiomas, which has been very helpful, but
  nothing on the lower pons. I have appointments with 2 different neurologist
  this month to see what they say.  Could these 2 lesions be the cause of my
  seizures & tremors? If so what should be done? At 48 yrs. old it would be
  nice if I could get off the drugs with all the side effects they cause.
  Thanks for all the help you've given me already.
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It is unlikely that either of these lesions can explain your symptoms, the
cortical lesion could be related to the seizures, this depends on the type
of seizures you have, but a surgical approach would only be considered if
the seizures were not responsive to medical therapy.
The actual surgery itself would also cause scarring of the brain with a
further risk of seizures so well controlled epilepsy alone would not be a
good reason to operate.
It is unlikely that a single lesion in the pons would cause the sort of
tremor which would be confused with essential tremor so i feel that this
also is not a likely prospect.
In any case surgery in this area is very difficult so a surgical approach
would not be considered except in cases of absolute necessity.

[CCF neurology MD MM]

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