Question: I am a 38 year old female, who was recently diagnosed with multiple meningiomas. My non-contrast MRI showed one bioconvex mass in the right frontal region measuring 2.6cm x 12 mm thickness x 2.7 cm CC, a similar but smaller one on the contralateral side near midline, and several larger and more nodular appearing areas at the vertex on the right side. Gradient images showed multiple punctate foci of hemosiderin deposition especially at the vertices. None of the areas demonstrate restricted diffusion. An MRI with contrast and CT backed up the initial MRI. As far as symptoms go, I have what feels like constant pressure in my head and ringing in my ears. I do have occasional headaches that are sharp and stabbing, and some that make my left eye ache (making me nauseated). I have a lot of short-term memory issues (losing things, forgetting names, forgetting appointments, etc.) I also have tingling in my left arm, and mild facial numbness on the left (not completely numb, but feels different than the right side). I have episodes of being "foggy headed" and have trouble concentrating. I've had a spinal tap which was normal, as well as an EEG that was normal as well. There is nothing concerning in any of my labwork (lupus panel, thyroid, MS panel, etc). I'm healthy otherwise. My last CT did show mild cerebral atrophy. I recently started seeing a neurologist, who at the first visit said he thinks the meningiomas are too small to be the cause of any of my issues, and gave me a script for amitriptyline. I still have all of my symptoms, but the med helps me sleep well. At the second visit, he again said he doesn't think it's the meningiomas, but offered no other ideas on what is causing my symptoms and doubled the amitriptyline. Should I get a second opinion?

Thank you very much for your answer. I definitely don't want any kind of surgery. My neurologist felt that stress could be the cause of some of my issues as well. Could I have sensory seizures if my EEG was normal? Also, what would be the cause of the tingling in my left arm/numbness in my face (left side)? The tingling is always there, mild at times, and intense at others. For example, right now, I have a localized sharp, throbbing pain on the right side of my head, the ringing in my ears is quite loud and the tingling/numbness on the left is intense. This has gone on for several hours. This has been a very calm and relaxed day, and I did not have this earlier in the day.

Thank you. You have been very helpful!