This is essentially what I posted in another topic.
I had a short time between initial diagnosis, MRI, more consults, and finally surgery. Largish, golf ball-sized meningioma in left CPA, choking off the brain stem and extending into the ear canal. Was told I had three to six months to deal with this before really bad things start to happen. On February 12th we began what was to be a 14-18 hour surgery. Location, stickiness, the amount of tumor attached to the artery, and the dogged determination of the surgical team, surgery extended to 32 hours. I spent six days being intubated and a total of 13 days in ICU. The rehab team wanted me to stay in hospital at least two more weeks but my surgeons said I could go home, and I did. I then spent three months at home recovering until I go back to work. They estimated they had gotten about 90% or so of the tumor,
The left side of my face was paralyzed but had returned to at least 90% in 90 days. The left vocal fold was paralyzed and trauma to the 12th nerve also left me with swallowing difficulties. Multiple laryngoplasties were performed over a year to give me a voice. At the first anniversary of my surgery we decided my voice was finally starting to recover.
That first year I was still "sick" but I didn't realize how much so until the second year and how much better I was doing physically.
I had MRIs every six months. In fact, I have had so many in the last three years that I have lost count. I think my next will 13 or 14. Anyhow, in October of 2011 we determined that the tumor was indeed growing, and growing more rapidly than was good and in January of 2012 I went through six weeks of radiation at the same hospital. While others have no issues with FSR, I did and it wasn't awful, but it simply wasn't pleasant.
Next MRI is in May, probably won't know anything substantive than, other than the fact the tumor is swelling.
I still have some swallowing problems, and my speech is not fully recovered. It is good enough for most things, but sometimes public-speaking is a challenge - and I do a pretty fair amount of that. The difficulties I have are similar to spasmodic dysphonia in that stressful situations cause the left vocal fold to become somewhat unresponsive. The swallowing problems also play a role since it can be next to impossible at times to clear my throat. There are few other speech issues, but these are the substantive ones. Even with them, I do pretty darn well.
I still have hemifacial spasms. Sometimes it is uncomfortable - more annoying than the tinnitus. In the second year I had noticed that my left nostril had partially collapsed. Now it is noticeable to me, and perhaps to professionals, that my entire nose is angled a bit left. I suspect that once the swelling of the tumor starts to dissipate, I may have something done about this, but until then I see no reason to interfere.
I had already lost most of my hearing and it was all gone after surgery.
I think you have to be careful about putting too much credence in comparisons of tumor size and outcome. Location of the tumor, the quality of its blood supply, your overall fitness and health, and a number of other factors can make a huge difference. Jim Scott has shared his experience with a tumor of similar size to mine, but he has had a remarkably different experience. Further, there people on this forum who had surgery for tiny little tumors and suffer devastating outcomes, such as debilitating headaches. Every tumor, every patient is different.
Good luck with your decision.
Tod
