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What Does The CT Of The Sinuses Indicate?
Question: I recently went in and had a CT of my sinuses that showed a lesion or mass on my corpus collosum. Had a follow up MRI. And with out previous records it was labled a Corpus collosum lipoma. A CT scan of my sinuses from 2008 shows the CC clearly and there is no lesion/mass. The hospital I go to now says it's still CCL.
I have been seeing VA for months now on my page long list of Neuro symptoms they have yet to do anything Besides blood and the exam were you touch there finger and your nose, walk, reflexes ECt and that checks out good. Would you advise to have a non VA Neuro doc look at me or is what VA doing a good call, watch me and that's it with no DX to explain the transient Neuro symptoms. Keep in mind the USAF has been watching me since 1999 for MS and that's all just watching.
I have been treated for TB in 1999 after returning from deployment in Kawait. I had 5 controversal vaccines Anthrax Bioport lot# fav043, Fav041, fav024 and fav048b. I have autoimmune issues undiagnosable at this time pos ANA, I have chronic infections of unknown cause and I'm being treated for it with Doxcycline. My IgG is low, high WBC count since 1999. I have been seeing hematology for my blood issues that present as bone cancer but gene test negitive and B cells are maturing right. I have had Disk deg. disorder since 1999. the Neuro symptoms I have and have been blamed on INH treatment that never went away is....
numbness, tingling, vision changes, migraines, joint and nerve pain, bladder and digestive problems. when weather changes I get chest pain or stabbing pain between my ribs, neck and back. my left side is the most effected. I have memory loss and ADHD like symptoms.
I have been seeing VA for months now on my page long list of Neuro symptoms they have yet to do anything Besides blood and the exam were you touch there finger and your nose, walk, reflexes ECt and that checks out good. Would you advise to have a non VA Neuro doc look at me or is what VA doing a good call, watch me and that's it with no DX to explain the transient Neuro symptoms. Keep in mind the USAF has been watching me since 1999 for MS and that's all just watching.
I have been treated for TB in 1999 after returning from deployment in Kawait. I had 5 controversal vaccines Anthrax Bioport lot# fav043, Fav041, fav024 and fav048b. I have autoimmune issues undiagnosable at this time pos ANA, I have chronic infections of unknown cause and I'm being treated for it with Doxcycline. My IgG is low, high WBC count since 1999. I have been seeing hematology for my blood issues that present as bone cancer but gene test negitive and B cells are maturing right. I have had Disk deg. disorder since 1999. the Neuro symptoms I have and have been blamed on INH treatment that never went away is....
numbness, tingling, vision changes, migraines, joint and nerve pain, bladder and digestive problems. when weather changes I get chest pain or stabbing pain between my ribs, neck and back. my left side is the most effected. I have memory loss and ADHD like symptoms.
Brief Answer:
Corpus callosum lipomas are watched and symptoms treated with medication
Detailed Answer:
Hi
Thanks for writing in to us.
I have read through your query in detail.
About half the patients with corpus callosum lipoma will not experience symptoms In the remaining half, the corpus callosum lipomas are usually treated by medications depending on the symptoms at first. Medical literature says that anticonvulsant therapy is the treatment modality of choice in symptomatic lipomas. Surgical management proves to be challenging due to the high vascularity and adherence of the lesion to the surrounding parenchyma and should only be pursued if the patient fails medical management.
Medical research shows that common presenting symptoms include epilepsy, headache, behavioral changes, and cranial nerve paralysis. However, the association between epileptic seizures and intracranial lipomas remains controversial. It is said that symptoms occur when there is interruption of the fibers due to the lipoma. It is a slow growing lesion and long term follow up with treatment of symptoms is usually provided to the patient.
I suggest you discuss your symptoms with Neuro VA and seek any medications like anticonvulsants that might be of help. Keeping a watch is the usual protocol in corpus callosum lipomas. Any severity in symptoms must be communicated to your doctor and treatment sought for it.
Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Corpus callosum lipomas are watched and symptoms treated with medication
Detailed Answer:
Hi
Thanks for writing in to us.
I have read through your query in detail.
About half the patients with corpus callosum lipoma will not experience symptoms In the remaining half, the corpus callosum lipomas are usually treated by medications depending on the symptoms at first. Medical literature says that anticonvulsant therapy is the treatment modality of choice in symptomatic lipomas. Surgical management proves to be challenging due to the high vascularity and adherence of the lesion to the surrounding parenchyma and should only be pursued if the patient fails medical management.
Medical research shows that common presenting symptoms include epilepsy, headache, behavioral changes, and cranial nerve paralysis. However, the association between epileptic seizures and intracranial lipomas remains controversial. It is said that symptoms occur when there is interruption of the fibers due to the lipoma. It is a slow growing lesion and long term follow up with treatment of symptoms is usually provided to the patient.
I suggest you discuss your symptoms with Neuro VA and seek any medications like anticonvulsants that might be of help. Keeping a watch is the usual protocol in corpus callosum lipomas. Any severity in symptoms must be communicated to your doctor and treatment sought for it.
Hope this answers your question. Please feel free to correct any oversight in my interpretation of your problems and discuss them in detail as per your requirements.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Can it be MS and VA just dragging there feet. I'm already on lamictal 100 mg for my undiagnosable psych symptoms and they are asking for it to be increased to help with pain/ sezuires like things I've been having. I don't understand why they refuse to do a back study and punch to check my CSF since they've been watching this since 1999. It's getting worse and now the CCL is showing up when I'm 2008 there was no mass/lesion
Brief Answer:
Please find details below
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
There is a lot of overlap in symptoms seen in conditions involving the brain and spinal cord and at times two conditions might have exactly similar symptoms of varying intensities and diagnosis is based on the appearances on imaging and follow up.
MS is a condition that can have any of the neurological symptoms but the diagnosis is based on a criteria found on MRI imaging. This is the McDonald criteria and MS is suspected only if there is appearance of new lesions on follow up MRI with spatial and temporal reference and the lesions showing certain characteristics in pattern and distribution. When there is no other indication of disease then doing a CSF punch is not required.
If your brain scan shows only the presence of a CCL then it cannot be included or suspected to be a MS.
However, you can observe and express your symptoms in the coming months to your VA and discuss is repeat imaging by MRI might be required after few months, depending on the progress of symptoms.
Lamictal is lamotrigine which is an anticonvulsant drug used in the treatment of symptoms due to neurological condition like CCL.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Please find details below
Detailed Answer:
Hi XXXX,
Thanks for writing back with an update.
There is a lot of overlap in symptoms seen in conditions involving the brain and spinal cord and at times two conditions might have exactly similar symptoms of varying intensities and diagnosis is based on the appearances on imaging and follow up.
MS is a condition that can have any of the neurological symptoms but the diagnosis is based on a criteria found on MRI imaging. This is the McDonald criteria and MS is suspected only if there is appearance of new lesions on follow up MRI with spatial and temporal reference and the lesions showing certain characteristics in pattern and distribution. When there is no other indication of disease then doing a CSF punch is not required.
If your brain scan shows only the presence of a CCL then it cannot be included or suspected to be a MS.
However, you can observe and express your symptoms in the coming months to your VA and discuss is repeat imaging by MRI might be required after few months, depending on the progress of symptoms.
Lamictal is lamotrigine which is an anticonvulsant drug used in the treatment of symptoms due to neurological condition like CCL.
Hope your query is answered.
Do write back if you have any doubts.
Regards,
Dr.Vivek
Note: Consult an experienced Otolaryngologist / ENT Specialist online for further follow up on ear, nose, and throat issues - Book a Call now.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Answered by
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