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Medical Forum / General / General / December 2004

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brain hemangioma

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Rich - 20 Nov 2004 15:20 GMT
Hi,

My wife has been experiencing headaches that are pretty
synchronized to when she gets her period.  Her doctor
sent her for an MRI and called yesterday to tell her
that she believes it is a relatively small hemangioma.
She is going to meet with a neurlogist.  I've learned
a little bit about what a hemangioma by google search
but I'm wondering if anyone has any first hand experience.
I understand that each case is unique, but I'm nervous
and am looking for more information.

Thanks so much.
Mark & Steven Bornfeld DDS - 20 Nov 2004 16:23 GMT
> Hi,
>
[quoted text clipped - 9 lines]
>
> Thanks so much.

    It is so common to have aches and pains during menses--are there any
other symptoms that prompted her doctor to send her for a mri?
    To the docs--has anyone heard of cns problems due to endometriosis?

Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Rich - 20 Nov 2004 16:34 GMT
Her only symptom was off and on headaches.

>> Hi,
>>
[quoted text clipped - 15 lines]
>
> Steve
Mark & Steven Bornfeld DDS - 20 Nov 2004 16:49 GMT
> Her only symptom was off and on headaches.

    I don't want to minimize any problems, but I used to get headaches
during my wife's periods.

Steve

Signature

Mark & Steven Bornfeld DDS
http://www.dentaltwins.com
Brooklyn, NY
718-258-5001

Robert A. Fink, M. D. - 20 Nov 2004 22:09 GMT
>> Hi,
>>
[quoted text clipped - 15 lines]
>
>Steve

Endometriosis does not spread to the brain.  I would suggest a
consultation, but with a neurosurgeon, not a neurologist.
Neurosurgeons deal with hemangiomas of the brain and related lesions
much more frequently than do medical neurologists

Best,

Bob

Robert A. Fink, M. D.
Neurological Surgery
2500 Milvia Street  Suite 222
Berkeley, CA  94704-2636  USA
510-849-2555

**********************************
NOTE:  The material above is not "medical
advice".  Medical advice can only be
given after an in-person contact between
doctor and patient.
**********************************
Steven Bornfeld - 21 Nov 2004 03:19 GMT
> Endometriosis does not spread to the brain.  I would suggest a
> consultation, but with a neurosurgeon, not a neurologist.
[quoted text clipped - 4 lines]
>
> Bob

    Thanks!

Steve

> Robert A. Fink, M. D.
> Neurological Surgery
[quoted text clipped - 8 lines]
> doctor and patient.
> **********************************
Rich - 21 Nov 2004 12:43 GMT
Bob,

When the only symptoms that present are occasional headaches
is there a need to perform surgery or is it more common
to leave it untreated.  I do understand that it's impossible
to diagnose or develop a definite prognosis from limited
information, I'm just really nervous and hoping for some
reassurance before we meet with a neurologist or a neurosurgeon.

Thanks very much.

>>>Hi,
>>>
[quoted text clipped - 37 lines]
> doctor and patient.
> **********************************
Howard McCollister - 21 Nov 2004 13:55 GMT
> Bob,
>
[quoted text clipped - 3 lines]
> to diagnose or develop a definite prognosis from limited
> information, I'm just really nervous and hoping for some

> reassurance before we meet with a neurologist or a neurosurgeon.
>> Endometriosis does not spread to the brain.  I would suggest a
>> consultation, but with a neurosurgeon, not a neurologist.
>> Neurosurgeons deal with hemangiomas of the brain and related lesions
>> much more frequently than do medical neurologists

I agree with Dr. Fink. Seeing a neurologist is pretty much pointless - it's
too far outside his specialty. This is a potentially serious problem and
should be addressed by a doctor in the appropriate speciality. Neurology
isn't it. Some surgical problems are treated without doing surgery, but a
surgeon is the best judge of that.

The problem is not the headaches, but what the headaches might represent.
The danger of a hemangioma is the devastating possibility that it might
bleed into the brain, and headaches are one of the heralds of such an event.
Now, migraine headaches commonly occur in association with menses, and it
may also be that this hemangioma is entirley incidental and of little
consequence, but you won't know that until you see a neurosurgeon.

HMc
Robert A. Fink, M. D. - 22 Nov 2004 22:54 GMT
>> Bob,
>>
[quoted text clipped - 24 lines]
>
>HMc

The above is correct.  The risk of a hemangioma inside the head is
bleeding into the brain.  Other problems include seizures.

Not all such hemangiomas require or are amenable to surgery.  There
are some new techniques which allow for other forms of less-invasive
treatment (including heavy-particle radiation, gamma knife, etc.).
Neurosurgeons would be in the forefront of this, especially those
affiliated with academic institutions.

Get that consultation soon!

Best,

Bob

Robert A. Fink, M. D.
Neurological Surgery
2500 Milvia Street  Suite 222
Berkeley, CA  94704-2636  USA
510-849-2555

**********************************
NOTE:  The material above is not "medical
advice".  Medical advice can only be
given after an in-person contact between
doctor and patient.
**********************************
Rich - 23 Nov 2004 00:47 GMT
Thank you.

>>>Bob,
>>>
[quoted text clipped - 53 lines]
> doctor and patient.
> **********************************
Rebecca Larsen - 08 Dec 2004 18:56 GMT
Just wanted to let you know I'm dealing with the same thing. I have been followed with MRI's for the past 3 years d/t having a bout of vertigo a few years ago. Unfortunately, at that time they found a 1.5cm hemangioma in my brain. Recently, I had an MRI that now shows 2 total. I am also worried b/c I feel "off" sometimes and fear this may lead to seizures or something. Anyway, I'm writing to let you know that a neurosurgeon is definitely the person to see. I have an appointment next week. This will be my second visit in 3 years and they can definitely reassure you and answer your questions. Write them down before you go. Good luck. Let me know how it works out.  Becky
Rich DOnofrio - 14 Dec 2004 12:46 GMT
Hi Becky,

Thanks for your message.  My wife has an appointment on Dec 30.
I'll give you an update.  How did you make out with your appt?

Happy Holiday and good health to you!

Rich
 
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