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Neurology  (Expert Forum)
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Is this serious symptoms?
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Is this serious symptoms?

by tg409, Dec 06, 2003 12:00AM
I am 37 years old and was recently dx by an MRI with a incidential extra-axial 8mm meningioma on the greater arc of the right sphenoid bone superolateral to the orbit.  There is no mass effect, no extra axial fluid collection, no hemorrhage or edema. It shows normal gray/white differentiation and was only seen on the axial contrast images.  I am not scheduled to see a neurogolist until 12/19.
My question is that within the last several weeks I have had episodes of lightheadedness and muscle aches.  This past week I have also had a dull headache which has moved from the left side of my head, to the top, then to the right which feels like light pressure, not really pain.  My ear also feels clogged which follows the headache from left to right.  Could this be caused by this meningioma?  My primary physician tells me that it is too small to cause any symptoms at this time. So I am worried it is something else serious.
Also, can you give me some insight on how they will treat this growth. I know they can use the wait and see approach but what type of surgery can remove this on the sphenoid wing?  Is this an area that is dangerous with surgery? Would they be able to remove it all? Will there be a complete recovery?  Permanent scar? I am obviously extremely nervous and anxious.
I would greatly appreciate any information you can provide. I thank you for your help.

by CCF-Neuro-M.D.-CS, Dec 10, 2003 12:00AM
It would be unlikely that this small meningioma is causing your headaches. Meningiomas cause symptoms by growing and compressing on brain structures. The majority of meningiomas grow extremely slow and are managed by periodic imaging. If the mass grows and causes symptoms then the mass can be removed surgically. The details of how this would be removed depend on the location and size, and therefore without seeing your films, I could not provie an opinion. I know it is easy for me to say, but I would not worry about this until you discuss this with the neurologist or neurosurgeon.

Regarding the headaches, these may simply be tension headaches, or related to the stress of your current situation. The neurologist can also address this. Good luck.
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