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What Does This MRI Report Indicate?

Posted on Mon, 5 Oct 2015

Question: Mri w/wo con impressions exam limited by motion
6mmx5mm t2 is intense enhancing lesion along right anterior sagittal falx rep. Small meningioma. Most compatible w 6mm right anterior parafalcine meningioma.
Now everyone except my inpatient ot pt and St therpaies tell me it some to do w my memory loss headaches blurry and double vision and my weakness in arms and legs. I was referred to a neurologist and I have repeated and multiple x-rays cts since I was a baby cuz I was always sickly also I've had pappllary carcinoma twice. Should I be really concerned?

Answered by Dr. Neeraj Kumar (16 minutes later)

Brief Answer:
Get consultation from neurosurgeon for meningioma removal

Detailed Answer:
Hello dear,
I have gone through your question and understand your concerns.
You are having right parafalcine meningioma.
Meningioma is having good prognosis after surgery as it is limited to the site and neurodeficit is usually due to compression.
Also recurrence in meningioma is uncommon until associated with some syndrome or genetic disorder.
Very rare reports of association of meningioma with pappillary carcinoma is present in literature.
Also some studies show association and appearance of meningioma inpatients treated with radio iodine for papillary thyroid carcinoma.
Consult a neurosurgeon for operative removal of meningioma.
Hope you found the answer helpful.
Regards
Dr Neeraj Kumar
Neurologist

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

Follow up: Dr. Neeraj Kumar (32 minutes later)

Is this caused from my radioactive iodine? The first time I had cancer dose was 175mch and malignant to left lymph node. Also I had vocal paralysis afterwards for a long time. I'm so tired of being sick. I have special needs kids 1 family income and the fact I can't walk or see well is hindering the fact I'm enrolled for college. I have had 3 neck fusions. 1st was anterior c6 c7. Then 5 months later needed posterior fusion w laminecomty c3 to t2. Also my neck went from a c shape to s shape. I have had 20 medically necessary surgeries for various reasons. I'm trying live a happy filled life and NO ONE IS GIVING ME ANSWERS JUST ASSUMPTIONS. PLZ HELP ME

Answered by Dr. Neeraj Kumar (8 minutes later)

Brief Answer:
Not proven relation between radio iodine and meningioma

Detailed Answer:
Hello dear,
Association of meningioma due to radioactive iodine is uncommonly noticed and casual link is not proved and may be by chance also.
But the present situation needs to be operatively managed by removal of meningioma.
I am very sorry to hear about your medical suffering but life is a tough path and courage is required to move ahead.
Hope you get well soon.
Wishing you good health.
God bless you.
Regards
Dr Neeraj Kumar
Neurologist

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

Follow up: Dr. Neeraj Kumar (11 minutes later)

Thank you for input. Where would you recommend going? I live in Fox lake il

Answered by Dr. Neeraj Kumar (12 minutes later)

Brief Answer:
Search and discuss with your colleagues, relatives and neighbours

Detailed Answer:
I will recommend a good hospital with neurosurgeon.
The decision about the treatment setup will depend upon cost.
You can inquire about this with discussions . Local relatives and neighborhood may help.
Online search shows Centegra health system as good facility but it will be your decision after searching at your end.
Hope you found the answer helpful.
Regards
Dr Neeraj Kumar
Neurologist

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

Follow up: Dr. Neeraj Kumar (5 minutes later)

Thank you for your time and help.

Answered by Dr. Neeraj Kumar (6 minutes later)

Brief Answer:
Always here to help you

Detailed Answer:
Hello dear,
Your are always welcome at this forum for all health related issues.
God bless you .
Regards
Dr Neeraj Kumar

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