Question: I was initially diagnosed with a Parasaggital Meningioma in 1995. It has remained stable while followed with periodic MRI' For the last six months I have had worsening headaches and XXXXXXX balance/coordination issues. MRI with and without contrast revealed "marked interval growth of left posterior parietal parafalcine extra axial dural based mass. (from 11 mm 4 years ago ) now measirong 206 cm AP x2.2 cm transverse x2.8 cm vertical height. While previously the mas was homogeneous It now demonstrates intense post contrast enhancement and heterogenous signal on pre-contrast axial FLAIR and T2-weighted series" with mild adjacent white matter edema. Also showed additional small, subcentimeter hyperintense FLAIR in the hemispheric sub cortical white matter consistent with chronic small vessel ischemic changes. No major acute infarct or obvious intracranial hemorrage. The radiologist conclusion differiential dx favors a miningioma with the possibility of sarcomatos degeneration given the interval growth and heterogenous signal.
I am trying to get an appointment with a neuro surgeon per recommendation of my MD and the radiologist. If this were your scan or a loved ones scan what would you reccommend as a course of action. Given the position and size of the tumor what are the risks of surgery and what might I expect recovery to look like.