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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Can There Be A Recurrence Of Meningioma? How Can It Be Diagnosed Earlier?

Sir,
Greetings of the day to you. my mother, 70 years old was operated in November 2010 for meningioma affecting D8 and D9 in the spinal cord. Now, she has the following symptoms:
Difficulty in walking straight and steady: tends to fall towards her right. so, she walks touching the wall to her right. Drags her right leg on the floor while walking. Feels heavy in the right lower leg and unable to move it as freely as left leg. But no numbness in general but only when she gets up in the morning there's a little bit of insensitive feeling for sometime and becomes alright after massaging for sometime.

Impossible to sit down and get up using her heels due to severe pain in the right knee cup and moderate pain in the left knee cup while folding the legs fully trying to sit down.

No pain in the lower back while sitting on the chair or walking; but severe pain while bending forward at a particular level whereas no pain while bending forward completely.
The ortho said that the pain the knees is due to initial stage of arthritis and has prescribed medications. And the pain in the lower back is due to the surgery done in the past and that can treated with some exercises after treating arthritis.

Sir, I would like to know from your good self whether there is a chance of recurrence of meningioma. Is surgery the only cure? For, she has become bedridden for almost four months before the last surgery due to delay in diagnosis. And now, I would like to do the needful in time - before she becomes bedridden like last time. I will very grateful to you if you can guide in this regard at the earliest.
Wed, 22 Jan 2014
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Neurologist 's  Response
Hi,

Thank you for posting your query.

I have noted your symptoms. Based on them, we need to exclude a recurrence of the tumor.

Yes, meningioma in the spinal cord may recur in some cases.

The diagnosis can be confirmed by doing a MRI of spinal cord.

Surgery is required if the recurrent tumor is big, otherwise, in some cases, radiation therapy is also useful.

I hope my reply has helped you.

I would be pleased to answer, if you have any follow up queries or if you require any further information.
     
Best wishes,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad,
For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/
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Can There Be A Recurrence Of Meningioma? How Can It Be Diagnosed Earlier?

Hi, Thank you for posting your query. I have noted your symptoms. Based on them, we need to exclude a recurrence of the tumor. Yes, meningioma in the spinal cord may recur in some cases. The diagnosis can be confirmed by doing a MRI of spinal cord. Surgery is required if the recurrent tumor is big, otherwise, in some cases, radiation therapy is also useful. I hope my reply has helped you. I would be pleased to answer, if you have any follow up queries or if you require any further information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/