Author Topic: Went to Neuro Today...Getting Frustrated  (Read 2871 times)

Melissa778

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Went to Neuro Today...Getting Frustrated
« on: February 12, 2008, 02:18:48 pm »
 I was newly diagnosed a few weeks ago with a 1.6cm X 1.6cm AN.  My GP referred me to a Neurologist whom I saw this afternoon.  He basically said he doesnt' "speicalize" in anything like AN, but said he can help with my headaches and that's about it.  He salso said I will "most likely" have to see a Neurosurgeon, BUT first he wants me to see an ENT to even see if I'll need to see a Neurosurgeon.  I'm so frustrated and tired of waiting for answers and tired of feeling like crap.  I just want to talk to somone who can help or provide me answers.  I'm dizzy daily, sometimes to the point of nausea.  I have to pull over when driving becasue I get dizzy at times. 

Is it "normal" to have to see and ENT then a Neurosurgeon?  I have a call in to my GP to see if she can refer me directly to a Neurosurgeon and skip the ENT.

Any input is always appreciated.
1.6cm X 1.6cm diagnosed Jan 30 2008
Translab Surgery scheduled for May 15th with Surgery went well, got ALMOST all of it.
GK to zap the rest on 10/22/08
2010 MRI showed no new growth tumor measuring at that time at 1.1 x .4
2011 Holding steady
2012 new growth 1.7 x .7 :( :(

tatianne

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Re: Went to Neuro Today...Getting Frustrated
« Reply #1 on: February 12, 2008, 02:53:27 pm »
sorry you have to join this group but at the same time welcome, you have found a great source of support, good information and friendship.
Im no where near the best person to help you on this site, many great sources will follow me but I can tell you that its very much protocol to see an ENT before the neurosurgeon.
The have a specialist in the filed of ENT which is a neurotolgist, they specialize in ears and tend to have experience in the area of ANs...My neurotologist ( he studied ANs  and specializes in them) is my best source of info and reason most of the time, and I much rather him then the neusurgeon.
There is usually three options in rehargd to AN treatments..
Observation: which could be a possibility for you because yours is small
Radiation: your AN is on the smaller side so this could very possibly be an option for you
Surgery: there a few different surgical approaches that are used and I think they depend on the location and the level of hearing you have and want to preserve.
Headaches and dizziness are common symptoms among the group here, the intensity seems to differ from one person to the next but Im sure many will offer you counsel on these. I experience both from time to time but not to the intensity you seem to be having...

The good news is you have many options and you will get past all of this. I definitly know how overwhelming it can be to be waiting for much needed answers and advice. This is a very stressful but in time you will feel better.
God Bless
T
Waith and Watcher
July 2006 8mm
Jan 2007 9.5 mm
Jan 2009 1.4 cmm x 5mm
GK surgery completed on May 4, 2009 in Sherbrook Quebec, hoping and praying this will be the beginning of the end of my AN......

nancyann

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Re: Went to Neuro Today...Getting Frustrated
« Reply #2 on: February 12, 2008, 04:44:56 pm »
Hi daydreamer:  I didn't meet with the neurosurgeon until I was sure re: surgery.   I met with the otoneurologist  1st.
                       & as Tatienne said, you do have options.   Take a deep breath & exhale slowly my friend  Don't rush into
                       anything (I did with unfortunate outcome).
2.2cm length x 1.7cm width x 1.3cm  depth
retrosigmoid 6/19/06
Gold weight 7/19/06, removed 3/07
lateral tarsel strip X3
T3 procedure 11/20/07
1.6 Gm platinum weight 7/10/08
lateral canthal sling 11/14/08
Jones tube insert right inner eye 2/27/09
2.4 Gm. Platinum chain 2017
right facial paralysis

leapyrtwins

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Re: Went to Neuro Today...Getting Frustrated
« Reply #3 on: February 12, 2008, 05:39:06 pm »
IMO, your best bet is to talk to a neurotologist - like an ENT, but more specialized.  A lot of "regular" ENTs are unfamiliar with ANs and how to treat them.  My ENT tested my hearing and sent me for an MRI, but when my MRI showed the AN, he immediately referred me to a neurotologist.  A neurotologist (or otoneurologist, as NancyAnn called hers) has advanced training related to the ear.  Generally neurosurgeons do numerous kinds of surgery (for example, back surgery), so even if you went directly to a neurosurgeon, I'd imagine he/she would need to send you to a neurotologist.

Neurosurgeons and neurotologists typically work as a tandem team in AN surgeries; neurotologists who do radiation procedures typically work with radiation oncologists (even though ANs are rarely cancerous).

An additional benefit to seeing a neurotologist, as Tatianne mentioned, is to find out if radiation might be an option for you.   Lots of us chose surgery, but just as many chose radiation.  You want to look into both options before you decide which direction to go.

   
Retrosig 5/31/07 Drs. Battista & Kazan (Hinsdale, Illinois)
Left AN 3.0 cm (1.5 cm @ diagnosis 6 wks prior) SSD. BAHA implant 3/4/08 (Dr. Battista) Divino 6/4/08  BP100 4/2010 BAHA 5 8/2015

I don't actually "make" trouble..just kind of attract it, fine tune it, and apply it in new and exciting ways

Melissa778

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Re: Went to Neuro Today...Getting Frustrated
« Reply #4 on: February 12, 2008, 06:55:44 pm »
Thanks everyone for the encouraging words.  I spoke with my GP late this afternoon and she is referring me to a Neurosurgeon who she "says" will send me on to an ENT if he deems it necessary.  sO now I call tomorrow to see a Neurosurgeon.  Seems like docs in my area (Toledo, OH) aren't real familiar with AN.....or at least maybe my GP isn't.  She seems not to know where to send me.  However, the Neurologist I saw today is going to give me ocipital(?) blocks, steroid shots in the back of my head to help with my headaches, and my GP is going to give me something to help the vertigo.  Downfall to the meds are that it will make me tired.  I suppose I'd rather be tired than spinning!!  ;)  It's jsut so frustrating to feel so crappy every day.  I'm hoping to get some relief soon.  Thanks to all for your kidnd words and encouragement, most of my family and friends don't understand the up and down emotions I'm feeling and my husband is currently less than understanding as well.  :P
1.6cm X 1.6cm diagnosed Jan 30 2008
Translab Surgery scheduled for May 15th with Surgery went well, got ALMOST all of it.
GK to zap the rest on 10/22/08
2010 MRI showed no new growth tumor measuring at that time at 1.1 x .4
2011 Holding steady
2012 new growth 1.7 x .7 :( :(

Sheryl

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Re: Went to Neuro Today...Getting Frustrated
« Reply #5 on: February 12, 2008, 07:10:15 pm »
Daydreamer - Be prepared for the roller coaster ride of your life!!  There will be many "ups and downs" but please keep in mind that you have many options:   this is not an emergency (even though you feel crappy now), and it is a BENIGN process.  Please keep us informed.
Sheryl
9th cranial nerve schwannoma - like an acoustic neuroma on another nerve. Have recently been told it could be acoustic neuroma. Only 7 mm of growth in 18 years. With no symptoms. Continuing W&W

Sam Rush

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Re: Went to Neuro Today...Getting Frustrated
« Reply #6 on: February 13, 2008, 01:44:49 pm »
Your GP should be scolded for referring you to neurologist, who really can't do anything related to AN's, especially after the diagnosis was already made!!  Just a  waste of time. 

The specialists needed for AN's are: ENT/Neurotologist,  Neurosurgeon, radiation/oncologist,  and sometimes internal medicine.
1 cm AN translab, Dr. Brackmann, Dr. Schwartz, Dr Doherety HEI   11/04   Baha 7/05

Jim Scott

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Re: Went to Neuro Today...Getting Frustrated
« Reply #7 on: February 13, 2008, 04:11:42 pm »
Hi, daydreamer:

The primary care physician-to-ENT-to-Neurologist routine is a common one for AN patients.  Some of the confusion is based on the reality that acoustic neuroma tumors are fairly rare and many doctors, including some Neurologists, are basically unfamiliar with them. 

I was 'lucky,' in the sense that by the time I presented with my multiple and fairly severe symptoms, my PCP ordered an MRI, although he suspected sinus problems, not an acoustic neuroma.  When my large AN was discovered, he immediately referred me to a neurosurgeon.  I passed on that fellow, who had little experience with AN's and was evasive about it.  Fortunately, my wife's neurosurgen was able to get me an immediate appointment with a neurosurgeon in his practice that specialized in acoustic neuroma removals and had over 30 years experience.  He scheduled my surgery within a few weeks and the rest is history.  That was almost two years ago.  Today, I'm fine.

I regret waiting to see a doctor about my increasing severe symptoms but, on balance, because the MRI showed such a large AN tumor, I was able to bypass the usual ENT-neurologist runaround and go straight to surgery with a highly experienced neurosurgeon.  When your tumor is 4.5 cm, there is no question about it being anything other than an acoustic neuroma!

We understand your frustration and trust that you'll get some relief from the new medications and satisfactory answers from the neurosurgeon.   I hope your husband also shows more sensitivity to your stressful situation.  Perhaps using the not-inappropriate term 'brain tumor' to describe your AN will sharpen his focus and increase his interest in your well-being.

Jim



« Last Edit: February 16, 2008, 12:44:38 pm by Jim Scott »
4.5 cm AN diagnosed 5/06.  Retrosigmoid surgery 6/06.  Follow-up FSR completed 10/06.  Tumor shrinkage & necrosis noted on last MRI.  Life is good. 

Life is not the way it's supposed to be. It's the way it is.  The way we cope with it is what makes the difference.

Charlotte Lady

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Re: Went to Neuro Today...Getting Frustrated
« Reply #8 on: February 14, 2008, 12:47:34 am »
It's interesting to read the different routes we've all taken to get here.  I saw my internist for clicking noises and some loss of hearing, She sent me to see an ENT and for a hearing test.  He sent me for an MRI only to be on the safe side.  When the AN showed up, he sent me to a neurotologist, who sent me to a neurosurgeon.   The neurotologist and neurosurgeon worked as a team during surgery.  They did a lot of AN surgeries together. 
There is no one correct route to the doctor.  I waited a month to see the neurosurgeon and another month before their calendars were free from them to operate together.  From what I recall, the otoneurologist was to open the auditory canal and the neurosurgeon to remove the tumor from the nerve.  Granted this was almost six months (and a craniotomy) ago.  I could be mistaken.  Who knows <shrugging>.   
Donna
1.5 cm AN removed 9/25/07.

trhoads

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Re: Went to Neuro Today...Getting Frustrated
« Reply #9 on: February 15, 2008, 10:42:15 am »
I just wanted to wish you luck with your consultation. 

As for me, my internal medicine doctor referred me to an ENT first, because he actually had no idea who/where to send me.  When I talked with the ENT, he knew exactly where to send me.  My first appointment was with the Neurotologist, who then referred me to the neurosurgeon.  Both of my doctors were on both teams (surgical and gamma knife), so I had either option to pick from.  I went with surgery, because I was also very dizzy and did not feel like the radiation would help that as much as the surgery can.  But the doctors will be able to give you information on the different options, risks, and benefits.

As someone mentioned above, (I cannot remember who), I also like my neurotologist better than the neurosurgeon, and he usually takes more time to explain options in detail, and answering any/all questions that I throw at him.

Best wishes,

Tonya

OMG16

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Re: Went to Neuro Today...Getting Frustrated
« Reply #10 on: February 15, 2008, 01:19:54 pm »
I am sorry to hear of the troubles your having.  I've heard of occipital nerve blocks and my concern is if the headache is coming from the AN or from the tension to this nerve due to the vertigo and stress you are having.  Can you call around and see if you can find a provider that has at least seen ANs in their practice.  Otherwise I think you will receive info that maybe incorrect.  I would place a post on this forum to see if anyone in your area maybe able to direct you on this.  It is true that the AN is not considered an emergency and all they can do now is treat symptoms you are having.

I agree with Jim in regards to your Husband he may need to be told that even though a AN is a benign tumor it is still a Brain Tumor and even benign tumors in that area will end up in the end causing severe symptom and eventually death.  Luckily these are very slow growing and you do have time to consider all of your options and research the heck out of it.  I remember after my son was diagnoses and we had not told the school about the tumor yet (not an AN).  My son had a Teacher that was very difficult to say the least and she was notorious for humiliating the kids to get them to behave.  We had not experienced this yet and my son would come home with stories about what she had done day after day.  I received a call from her just days after he was diagnosed and she was calling while class was going on and her intention was to humilate him in front of the entire class.  So as she began telling me that he seemed to not be concentrating on his classwork and seemed very tired.  As she progressed in the conversation she got more irritated as I just listened and did not offer to her to talk to him....knowing this was not the time or place.  She got very angry and said to me "just what is his problem?"  Well I lost it to say the least and told her he had just been diagnosed with a brain tumor just days earlier and that if he was not attentive and tired that maybe she should cut him some slack as we were trying to figure this out right now.  I also told her that I thought her way of handling this situation was not effective and she should have called me after school and now I would need to do damage control along with helping him to deal with his mortality.  Well of course I felt terrible afterwards as I made her cry in front of her class.  I guess I am trying to say 2 wrongs do not make a right and you can not take back something you say once you say it.  This is not my normal character and I still feel very bad about it.  So think long and hard about what you do say to your husband and you can post on here and we can all help you with that.  I do believe that you need to express how you are feeling and the seriousness of this tumor to him.

Wishing you well and many kisses to your forehead.  :-*  :-*   :-* 16
I believe you are given choices in life and it is not what has happened to you that defines who you are.  It is how you handle the situation and finding the positive in an almost hopeless situation that counts the most.  My son is my hero and I have had the pleasure of learning this from him.

Kaybo

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Re: Went to Neuro Today...Getting Frustrated
« Reply #11 on: February 15, 2008, 01:38:01 pm »
Daydreamer~
I am so sorry that you are not getting the support that you need from family and friends, especially your husband.  I am going to give him the benefit of the doubt and hope that he is just trying to deal with this in his own way and in doing that is not as supportive to you.  I just don't know what to say...I'm just going to pray about that...that is just an added stress that you don't need right now!
Always here for you!!
K
Translab 12/95@Houston Methodist(Baylor College of Medicine)for "HUGE" tumor-no size specified
25 yrs then-14 hour surgery-stroke
12/7 Graft 1/97
Gold Weight x 5
SSD
Facial Paralysis-R(no movement or feelings in face,mouth,eye)
T3-3/08
Great life!

Joef

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Re: Went to Neuro Today...Getting Frustrated
« Reply #12 on: February 15, 2008, 03:27:25 pm »
16 -- the teacher actually called you during class ???  ???  ???  ... wow .... if a teacher did that back in my day... would of ended up with a lot a bad tires  ::) .. dont feel bad... maybe next time she will twice before calling during class.... (when you play with fire... sometimes you get burned!)

in the days before my surgery.. it sapped my energy level big time to get to work .. I can't imagine going to school .. (of course I did have more energy 20 years ago  ;)  )
« Last Edit: February 15, 2008, 03:31:11 pm by Joef »
4 cm AN/w BAHA Surgery @House Ear Clinic 08/09/05
Dr. Brackmann, Dr. Hitselberger, Dr. Stefan and Dr. Joni Doherty
1.7 Gram Gold Eye weight surgery on 6/8/07 Milford,CT Hospital