Just Diagnosed with Colloid Cyst as pet CT scan.. need info

[Nouseen]

Hi,

My Best friend has been diagnosed with Colloid cyst 1 mnth before. He was having kindaa of shock sometimes in his left side of brain past 3-4 months back that has been replaced by a severe headache on left side and most of the time grows till behind of left-eye.

Now almost 1 month back, he has been diagnosed by a famous Neurosurgen following with a CT scan reported as Colloid cyst (which after searching on net, we got information about it) but the doctor himself never mentioned any severity, cause or disease and after providing prescription of 2 tablets last month (even following the course, my friend has sometimes noticed that pain was coming into Right side with same intensity), the Dr. has asked to repeat the course for next 3 months.

But still my best friend is facing severe headaches from last 5 days and sometimes not able to sleep well, got tired soon and got irriated very quickly.

I am so concerned about him and really want satisfied words. Please tell me either the approach of Neurosurgen is fine or not. This Dr. didn't mention any dimention (lenght of Colloid cyst on report) nor he spoke anything except writing tabs ( I know he is very famous here) but that should work as improvement for my buddy.

Please help me what do to for his support emotionally and personally.

[Nouseen]

Hello,

Thanks for writing. I am from India.

I am not sure what to say. The thing is he stopped taking medical treatment 2 months back and seriously not taking any precaution. Though he has told that with one of Dr,'s prescription, he started taking Dolo 650 as replacement of headache. And this same pain (related to colloid cyst) is coming and going (mostly when he is on work and sometimes even @ home).

Now day before yesterday, he went to another Dr. (neuro) and started taking his tabs (only when he can't bear the pain). This Dr. has also asked him to do a MRI but he is not ready. His dad is also trying hard, I am not sure what he is thinking and suddenly taking things so lightly. He was denying this MRI from past 2.5 months when we visited one of famous Neurosurgen for second opinion last time.

Please tell me that if this cyst cause an coming and going kindaa pains (means few months so severe and few months tolerable) but might be growing inside?  I am not sure how to make him ready or he will stop sharing things with me due to compulsion or pressure I am putting him for his health.

Please share your words.

I am thankful to all who can help me to make my buddy healthy soon !

[foreriver]

  Nouseen
        I had a Colliod Cyst removed two years ago. Most Doctors have no nothing about these tumors. They cause severe headaches,walking problems and severe mood swings. I searched the country for Neurosurgens that had some understanding of this tumor.
        Dr. Sharma,
         It does not matter how small this tumor was , this person should have been told that had this rare brain tumor.

Nouseen
          I'm not sure were your from but Dr. Butler at Massachusetts General Hospital in were I went. This tumor is nothing to be dismissed . At the very least your friend should be having annual MRI's to follow its growth. This tumor floats in the 3rd ventricle and is attached by a stem off the ventricle. It can float to a certain spot, foramen of Monro and cause death.

[Dr Sharma]

Hi there. Colloid cysts perse do not cause any symptoms and is usually an incidental finding on MRI except when they are either large in size to begin with or progressing at an alarming rate to cause mass effect in the brain. Since your neurosurgeon did not make a mention of this, it appears it is insignificant in size and not the cause for these severe headaches. These headaches could be due to stress, anxiety, migraines or tension headaches, sinus headaches radiating to the ear, headache usually front of head, on one or both the sides of temples along with nausea, vomiting, irritability, low blood pressure, sensitivity to lights, sound, etc. aura associated with migraines could include blind spots, blindness in half of your visual field, paresthesia, weakness or visual hallucinations. Your vision needs detailed testing by an ophthalmologist. Hypertension and hypotension need to be checked. An MRI brain is warranted to rule out any intracranial lesion particularly aneurysm and MRI spine for ruling out cervical spondylosis and degenerative disc disease.  Temporal tendinitis mimics migraines including TMJ pain temporal headaches, tooth sensitivity, neck and shoulder pain. Treatment includes injecting local anesthetics and other medicines, moist heat muscle relaxants and NSAIDs along with physiotherapy. Multiple sclerosis would also need to be excluded. Treatment for migraines include drugs that prevent the attack like anti convulsants and drugs which treat an attack like triptans, ergots etc your queries should pertain to all these possible differential diagnoses. Trigeminal neuralgia needs to be considered. If the neurologist and radiologist are suspecting a cerebral aneurysm, they can confirm with cerebral angiography and clipping of the aneurysm could be done. Hope this helps. Take care.