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Right Temporal Lobe Meningioma
Hi to all of you and thanks for letting me be part of this community. I recently was diagnosed with Right temporal Lobe Meningioma. Last May5, 2011 I had a seizure that lasted 1 minute and then was inconsious for about 15 minutes. This had never happend before. This was my first time. About one and a half year ago I felt some kind of strange pain in my right eye and palpitations on the back of my neck. I had blurred vision and appeared some kind of weird images but all of that lasted about 10-15 minutes, 2-3 times a month.
At the hospital they did an MRI of the brain (without and with intravenous contrast) . Technique was a multiplanar and multisequence MR-Images of the brain were obtained wuith and without intravenous contrast. Here is what the radiologist found:
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Findings:
"There is an approximately 3 cm homogeneously and avidly enhancing mass lesion in the right parasellar region with enhancing dural tail along the right middle cranial fossa and adjacent right anterior aspect of the tentorium cerebelli. The lesion is isointenseto gray matter on T2 weighted images. The mass contacts the lateral aspect of the cavernous right internal carotid artery. The mass also exerts mass effect on the medial aspect of the right temporal lobe with abundant amount of vasogenic edema throughout the right temporal lobe extending to the corona radiata and posterior limb of the right internal capsule. No additional enhancinglesions are detected. No true restricted diffusion. the mayor skull base flow voids are present and there are no extraaxial fluid collections."
Impressions:
1. " Approximately 3 cm. enhancing right parasellar mass exerting mass effect on the right temporal lobe and resulting in abundant vasogenic edema as described above. MRI imaging features are suggestive of meningioma. Clinical correlation advised. No additional enhancing lesions detected ".
See above for specific details.
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The word between the lines are the exact word from the radiologist. While I was hospitalized, a neurosurgery specialist visited me and told me what I had inside my head. He told me I had a meningioma and that I was candidate for Gama Knife treatment. He sent me to be evaluated at the Puerto Rico Government Medical Center where the only one Gama Knife equipment is. Right there another neourosurgery specialist saw the MRI findings and impressions and recommended me open head surgery and after recovering , use of Gamma Knife to treat the what is left behind.
According with him, regular surgery is recommended because swollen tissue ( vasogenic edema???) exerting pressure on the temporal lobe and even with the use of the Gamma Knife, that swollen tissue around the meningioma will not go away. Because of this, seizures and other complications will not go away.That is what I understood.
This neurosurgery specialist also works for a private hospital where he plans to perform such procedure, with a friend of him who is also a neurosurgery specialist. Two specialists for this procedure.
I don't want to think this but I'm beginning to have my doubts but how come this specialist is working in a equipment bought and kept in a State's Medical Facility, where the best neurosurgery, surgery, and many other specialist work and teach. Right there is the University Of Puerto Rico Medical School, Nurse School, Pharmacy School, the best of the medical related careers are taugth there? The best of the best students here in Puerto Rico are selected to make a career in a medical field.
I just want to know another if what he said was right and also want to know from you a brief pros and cons of regular surgery vs. Gamma Knife surgery.
Thanks a lot for your attention regarding this. Have a nice day.
At the hospital they did an MRI of the brain (without and with intravenous contrast) . Technique was a multiplanar and multisequence MR-Images of the brain were obtained wuith and without intravenous contrast. Here is what the radiologist found:
_____________________________________________________________________________________________
Findings:
"There is an approximately 3 cm homogeneously and avidly enhancing mass lesion in the right parasellar region with enhancing dural tail along the right middle cranial fossa and adjacent right anterior aspect of the tentorium cerebelli. The lesion is isointenseto gray matter on T2 weighted images. The mass contacts the lateral aspect of the cavernous right internal carotid artery. The mass also exerts mass effect on the medial aspect of the right temporal lobe with abundant amount of vasogenic edema throughout the right temporal lobe extending to the corona radiata and posterior limb of the right internal capsule. No additional enhancinglesions are detected. No true restricted diffusion. the mayor skull base flow voids are present and there are no extraaxial fluid collections."
Impressions:
1. " Approximately 3 cm. enhancing right parasellar mass exerting mass effect on the right temporal lobe and resulting in abundant vasogenic edema as described above. MRI imaging features are suggestive of meningioma. Clinical correlation advised. No additional enhancing lesions detected ".
See above for specific details.
______________________________________________________________________________________________
The word between the lines are the exact word from the radiologist. While I was hospitalized, a neurosurgery specialist visited me and told me what I had inside my head. He told me I had a meningioma and that I was candidate for Gama Knife treatment. He sent me to be evaluated at the Puerto Rico Government Medical Center where the only one Gama Knife equipment is. Right there another neourosurgery specialist saw the MRI findings and impressions and recommended me open head surgery and after recovering , use of Gamma Knife to treat the what is left behind.
According with him, regular surgery is recommended because swollen tissue ( vasogenic edema???) exerting pressure on the temporal lobe and even with the use of the Gamma Knife, that swollen tissue around the meningioma will not go away. Because of this, seizures and other complications will not go away.That is what I understood.
This neurosurgery specialist also works for a private hospital where he plans to perform such procedure, with a friend of him who is also a neurosurgery specialist. Two specialists for this procedure.
I don't want to think this but I'm beginning to have my doubts but how come this specialist is working in a equipment bought and kept in a State's Medical Facility, where the best neurosurgery, surgery, and many other specialist work and teach. Right there is the University Of Puerto Rico Medical School, Nurse School, Pharmacy School, the best of the medical related careers are taugth there? The best of the best students here in Puerto Rico are selected to make a career in a medical field.
I just want to know another if what he said was right and also want to know from you a brief pros and cons of regular surgery vs. Gamma Knife surgery.
Thanks a lot for your attention regarding this. Have a nice day.
I have a meningioma on the brain and I'm afraid of have surgery. Are their other options
Hi
I just now seen this post. Sorry no one has responded. I too have been diagnosed with a meningioma. I found this site to be very helpful.
https://www.************/groups/56743583446/
I just now seen this post. Sorry no one has responded. I too have been diagnosed with a meningioma. I found this site to be very helpful.
https://www.************/groups/56743583446/
I just ran across your story. I hope to find you healthy and and alright. Please post and let me know how you are. Hugs...
Well, I had craniotomy performed last February 9, 2012 and meningioma was "apparently" removed completedly. Last week an MRI was done and meningioma regrew again.
How come apparently benign and a completedly removed meningioma grew almost the same size within 5 months ?
What is the picture here? I am scare because of this. Any help will be appreciated.
How come apparently benign and a completedly removed meningioma grew almost the same size within 5 months ?
What is the picture here? I am scare because of this. Any help will be appreciated.
1 Comments
You should ask your neurologist or neurosurgeon for this answer.
well I've seen no one give me an opinion or comment. I wanted to share my condition but apparemtly no one wants to share it's opinion or comment with me re garding this condition I have., thanks for the persons who's seen this thread.
No one?
In order to get all this procedure covered, I will go to the Veteran Hospital. All my doubts know is about the procedure options I have.
In order to get all this procedure covered, I will go to the Veteran Hospital. All my doubts know is about the procedure options I have.
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