Sunday, 2 December 2012

One thing or another?

The good new is that all my blood results were normal and the histology on my temporal artery biopsy was negative. Thankfully that means that I do not have Giant Cell Arteritis!

So what does that mean about my recent symptoms of worsening facial tenderness and attacks of shooting pain in my rear left molars? In fact these symptoms are apparently compatible with Feckit being a petroclival meningioma

"Posterior fossa meningiomas: grow along the underside of the brain near the brainstem and cerebellum. These tumors can compress the cranial nerves causing facial symptoms or loss of hearing. Petroclival tumors can compress the trigeminal nerve, resulting in facial pain (trigeminal neuralgia) or spasms of the facial muscles. Foramen magnum meningiomas grow near the area where the spinal cord connects to the brain and can cause headaches, or other signs of brainstem compression such as difficulty walking."

In one follow-up study of 168 patients over a 21 year period, Kano et al identified 12 patients who had trigeminal neuralgia in association with an ipsilateral petroclival meningioma. So the new symptoms need not necessarily indicate that Feckit is growing any bigger!

Tomorrow I am having the sutures out and I will ask for a 'weaning off' regime for the Prednisone. I am also going to request a referral back to neurology ....  as it is almost two years since I was last seen.

1 comment:

lesly said...

Forgot to put this bit in! .... In the above study Stereotactic radiosurgeyr (SRS) provided effective tumor control, but trigeminal neuralgia persisted to varying degrees in most patients. Multimodality pain management strategies were required in most patients with skull base meningiomas associated with trigeminal neuralgia.