Schwannoma/Neuroma

[Linda Thomas]

I would appreciate information about the following:
What is the difference between a neuroma and a Schannoma?  If a person is experiencing neuropathy in the peroneal nerve which is likely caused by a neuroma or a Schwannoma, what is the recommended treatment?  Also, if surgery is the recommended treatment, what risks are entailed in operating on the peroneal nerve?  
Thank you for your assistance.

[C Jenkins - POST RADIOSURGERY INFO]

I must say... "daisies"?  Thanks.  I want to let you know that since my ordeal in the chair, "crazy" indeed is the chosen term for what should have been an easy post-op.  I felt fine for several days even though I couldn't shake the headache and the more I thought about the deep cavernous sinus, the more I understood why.  1.)  the deep cavernous isn't the kind of sinus that pollen irritates... it's a blood reservoir  2.)  low rads are alien to everything, and 3.)  just being grateful that I'm not doomed to the same fate as my late-cousin provides reasoning enough to exist past the headache and move on.  I don't believe I'd do it again unless it was totally imperative, so... there you have it.  Again... thanks for being there. - C J

[CCF Neuro[P] MD, RPS]

ee commings:  "crazy enough to give daisies to"

Thanks

CCF Neuro MD

[C Jenkins]

Dear Doc RPS:

I suppose you could say that I love jazz in a Spyro kind of way and the world through the triad.  Three notes of the chord plus the add-ons... 5ths, 6ths, and 7ths, etc.  Guitar and piano are bedmates, but the keys are king.

When my pain gets real bad?  I mosey over to my Roland, select a really hollow sustained sound like maybe masses of strings or a string ensemble and let it go.  I don't play anyone else's stuff, I play my own compositions and using sustained tones soothes the savage beast.  My personal description of it all is "praying without words".  I don't sit when I play, I stand.  No matter how bad the pain is, my right foot becomes one with the sustain pedal and I "sway' the "pain" away.

I tried to conjure-up a jazzy mood while that damned chair rotated in unison with the lines of squiggly blue light during treatment, but I couldn't do it.  Jazz is partly together and partly jumbled and each segment made me more and more tired.  I just hope for a tumoral shutdown.  I'd be nice.

You know something?  It's good to know that there are physicians who are into more than the stiff white coats.  Most project sterile vibes.  You don't... and never have because you're relaxed in a progressive jazzy kind of way.  I shoulda known.  Parting quote Doc?

"The true, strong, and sound mind is the mind that can embrace equally great things and small."  Have a good one.

Sincerely,

C Jenkins

[CCF Neuro[P] MD, RPS]

Dear Lady Jay:

Thanks, as a former french horn and trumpet player and lover of jazz I am happy that you see the world through the scales of tones and vibrations.  

Sincerely,

CCF Neuro MD

[C Jenkins]

Doc RPS:

I just want to tell you that you've hung in there with me through all this junk.  From HRT and NF, a massive craniotomy and now this.  You may not have said a whole lot, but what you did say helped me down this road I've been thrown upon (heredity decided the route).  We've swapped quotes and they are comfort in themselves.  You ought to use them more often in other posts where applicable.  I must confess something.  I am Lady Jay.  Yes.  Talent runs in the family.  My dad is a retired drummer circa 1935-1965.  Swing was his game and my mom also.  She played trombone (a silver Busher)in an all-female dance band.  My gramps was a piano tuner and trombonist.  I played trumpet, french horn, flute, oboe, then paralysis struck and I did the same on guitar.  It's curious to mention that my great gramps was known throughout Ohio as the Pioneer Singing Schoolteacher.  In short, he was a circuit rider and invented the songwriters wheel.  It's preseved neatly on buggy leather.  Yeah, it runs in the family.  I thought I'd confess that to you.  Now I feel better.  And I'm going to continue my novel and get published.  Thanks for the all-around inspiration for my physician character.  You'll never know how much influence this entire forum has had on that one by your answers alone.  Good neuro's are never a dime a dozen... patients, like musicians are.  Convinced that I am Lady Jay?  Indeed!

Take care, doc... and keep the forum alive!

Yours,

C Jenkins

[Ms C Jenkins]

Doc?

I did it... have deep rosy marks on my left temple and three holes where the headgear fastened.  They usually secure with four, but because they removed that section of bone to assess the left temporal region only three were used.  Don't let anyone tell you that radiosurgery is easy.  It may appear "easy", but in reality, it's harsh and fatiguing.  I felt fine, until I got home.  A tremendous headache (no migraine holds a candle to it) set in and nothing could be done for it.  Then I took my evening meds.  Five minutes later I began vomiting and couldn't stop.  A Phenergan suppository ended that ordeal and knocked me out cold.  I woke up so fatigued it took every ounce of strength I had to rise.  The headache was still there, only half as strong.  Food was out of the question and so were my morning meds.  Missing two doses of pain medication took its toll and I realised that I will never have quality of life without them.  I'd be a coiled-up mess-of-a-person without them.  They screw the headset in to the bone and god... it hurt so bad when they removed it because the pressure was gone.  I hope and pray they shut that deep sob down and I never have to deal with it again.  My head is hurting, so...

Thanks for responding,

C Jenkins