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Guidance on surgery for parasagittal meningioma - Online Doctor Chats

Date : 21-Feb-2012
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2009
Answered : 595 Questions
User :   My mother is suffering from Right paracytical Manuzuama alongwith Asthma and earlier she was having TB...her age is 65 should i go for surgery at this XXXdoctor suggested surgery
User :   heloow
Doctor :   Hi
Doctor :   Iam.Dr XXX
Doctor :   Let me read your query
User :   ok
Doctor :   Is the disease what you have said is correct?
User :   yes
Doctor :   i mean the paracytical manuzuama
User :   as per MRI & doctors..may be there is spelling mistake
Doctor :   This term doesnt exist in medical terminology
Doctor :   so can you explain the disease
Doctor :   What was her problem?
User :   this is a type of non-cancerous tumor
Doctor :   Where was the growth?
Doctor :   And what was her initial symptoms?
Doctor :   Could you please verify the disease name from the MRI report if poz?
User :   as per MRI two month back size was 43x45x35
Doctor :   OK
Doctor :   What was her symptoms?
Doctor :   Is she having difficulty moving her limbs?
User :   right parasagittal meningioma
Doctor :   ok
Doctor :   Yeah thats the one
User :   she got asthmatic attack in May'10 then it was clear that she is having right parasagittal meningioma
Doctor :   ok
Doctor :   It is a tumor inside the brain
User :   yes
Doctor :   ok
User :   what you suggest at the age of 65, should we go for her surgery
Doctor :   Did she have headache?
Doctor :   Is she having diabetes?
Doctor :   or High blood pressure
User :   sometimes...
User :   no diabetes
Doctor :   ok
User :   yes she is high blood pressure patient and using regular medicine (Envas 5mg)
Doctor :   Asthma is an contraindication for surgey
Doctor :   And the surgery is done
Doctor :   by entering the skull cavity
User :   no due to some reason we postpone it
Doctor :   ok
Doctor :   What was the opinion of your doctor?
User :   they said it is not a matter burry....this is normal type of tumor and just size is little bit bigger
Doctor :   What was the reason for post poning the surgery?
Doctor :   ok
User :   my younger brother marriage was scheduled on 17th June
Doctor :   When the tumor size increases only the problem of headache seizures might come
Doctor :   ok
User :   yes
Doctor :   MRI will have to be repeated to see if any increase in size
User :   medicine to postpone the surgery is continue
User :   not re-MRI done
Doctor :   surgery is a bit difficult
Doctor :   in case of parasagittal meningiomas
Doctor :   Because of the danger of puncturing the blood vessels
Doctor :   Large parasagittal meningiomas may result in bilateral leg weakness.
Doctor :   Parasagittal meningiomas are the most common of the meningiomas
Doctor :   The age of the patient at the time the tumor is removed influences outcome
Doctor :   Younger patients tend to do better after surgery than older patients do do.
Doctor :   However, older patients in otherwise good health should not assume that their chances of a good outcome are diminished.
User :   can you suggest considering her age which option is better ...go for surgery or leave it...
Doctor :   That depends on the size of tumor
Doctor :   the problems that it is causing
Doctor :   and its location
Doctor :   Is she having any headache or weakness of her body now?
User :   One most important thing that Dr. said that 95% there is no risk
User :   not really but she is little dull
Doctor :   High BP and asthma is a bit worrying for the surgery aspect
Doctor :   ok
User :   what about XXXhospital it having gud infrastructure to handle any worst case
Doctor :   WWW.WWWW.WW
Doctor :   yes
Doctor :   XXXis good
User :   can u suggest the best
User :   one more thing it necessary to go for GAMA Knife after surgery
Doctor :   I cannot say regarding the finer details of the treatment
Doctor :   That is decided by neurosurgeon
Doctor :   depending on the disease status
Doctor :   WWW.WWWW.WW Doctor :   Use the link i have send to get neurologists from delhi
Doctor :   Any way the prognosis of the surgery depends on age too
Doctor :   And there is a chance of recurrence following surgery
Doctor :   All that details can be detialed to you by only a neurosurgeon
Doctor :   GAMMA KNIFE SURGERY for intracranial meningiomas seems to be a safe and effective treatment
Doctor :   But in the parasagittal region it is to be used cautiously depending on patient age and general condition, tumour size and location, presenting symptoms, and patient preference.
Doctor :   So please discuss with your neurosurgeon
Doctor :   Is there anything else i can help you with?
Doctor :   Are you there?
Doctor :   I have to close the window as you are not responding. Please chat with our doctors 24/7 for medical queries.

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