Suggest Remedy For Nausea Post Meningioma

Posted on Sun, 15 Nov 2015

Medically reviewed by Ask A Doctor - 24x7 Medical Review Team

Sun, 15 Nov 2015 Answered on

Mon, 7 Dec 2015 Last reviewed on

Question : I had a meningioma at C4-C5 in 2011 and have experienced nausea since the surgery. A fluid collection at the site has shown up on all MRIs since. My original surgeon told me it was not a CSF leak but to picture it as an inner tube with a bubble blown out. Another neurosurgeon told me it is a leak but due to it's location it was inoperable - too dangerous- next to vertebral artery - I am exhausted all the time, take Amitriptyline for the nausea (only thing that helps) , and am having memory and concentration issues plus jerking of legs and arms when I am going to sleep: can anyone help me - I am now 68 years old and have been told my spinal cord is probably brittle and surgery would be too dangerous - Any suggestions or is this hopeless? I don't have headaches yet - I've gHad a CT guided myelogram at Mayo and they also told me I would just be putting myself at more risk with more surgery - I have constant upper respiratory infections - could this be related to fluid leakage? Hope u can direct me to some help and thank you

Answered by Dr. Dr. Erion Spaho (1 hour later)

Brief Answer:
If CSF collection, evacuation is needed.

Detailed Answer:
Hello and thanks for using HCM.

I have read your question and understand your concerns.

Sorry to hear what you have been through.

First, I need to ask you about CSF collection location, and this issue can be clarified if you could upload MRI report, or some of the MRI views.

This is needed to have a better understanding of your condition.

If there's truly CSF collection that compresses nearby structures and is found responsible for your symptoms, evacuation is needed.

Possible solutions include stereotactic evacuation of the collection, shunt to thoracic or abdominal cavity.

Awaiting for more information....,

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. Erion Spaho (2 hours later)

How do I upload my MRI!If the leak is evacuated won't the fluid just recollect until the dura is closed? How do I know my brain is getting sufficient fluid to "float" it? Could u send information how to upload my MRI? I'm not very good with computers?? Thank you

Answered by Dr. Dr. Erion Spaho (17 minutes later)

Brief Answer:
Follow up.

Detailed Answer:
Welcome back.

You can write down the MRI results, or you can upload some MRI screenshots.

Another way is to save DICOM images as a folder and to post a google drive link.

Don't worry about brain surrounded by CSF, it is produced and absorbed continuously to maintain the physiological level.

Greetings.

Above answer was peer-reviewed by : Dr. Raju A.T

Follow up: Dr. Dr. Erion Spaho (22 hours later)

Hi, I have provided some attachments. Please review them.

Answered by Dr. Dr. Erion Spaho (14 hours later)

Brief Answer:
Follow up.

Detailed Answer:
Welcome back.

The attachment is uploaded correctly, so, you can upload this way pictures, or other reports.

It is an old examination, so new ones needed to have a better understanding of your current health condition.

Looking forward to have more information about your condition.

Take care.

Note: For further follow up on related General & Family Physician Click here.

Above answer was peer-reviewed by : Dr. Arnab Banerjee