Which Meningiomas Should Not Be Treated 

As a neurosurgeron who has both seen the recording and read some of the comments, I acknowledge that I have been indirectly educated on how to deliver surgical jargon in a language most patients can relate with. Thank you sir.

Thank you for posting I have had two symptomatic menenginomas affecting everything below the neck. I started choking having problems swallowing. I had a partial resection and my first MRI after leaving the hospital. I am still on anti seisure medication. Working on restoring strength in my right side. It was large pushing on my spinal cord and moved my cerabellum to the opposite side of the brain. Putting pressure on my acoustic nerve and facial Nerves. I looked like I had a stroke. The treatment risks were high so my Neurosurgeons at my local hospital referred me to Four Amazing surgeons at Addenbrooks hospital. 14 hours in surgery and some time in NICCU. Tumour number 2 is small enough for Cryoknife. It had progressed by the time I had the surgery..I'm doing rehabilitation and have less symptoms. The Neurosurgeons gave me the gift of time. Despite the pain and bleeds. I try to stay positive and live life as best I can with 90 percent tumour left. Lots of pressure was taken off. Head aches have gone. Hoping to live a few more years. I get my post operative consultation tomorrow. I am thankful the de bulked the tumour. Symptoms of paraplegia had started .

I got high quality education regarding meningioma. He is so caring, knowledgeable and experienced 👍👍👍💝❤❤

Thank you for posting this.I was diagnosed with a 3mm meningioma a while back and was told by my friend (neurologist) to not worry about it. I will keep waiting and watching but this video made me feel a lot better. Thank you also for explaining everything in plain English and easy to understand.

My 83-year-old father was recently diagnosed. He had symptoms of dementia two months ago, but the doctor sent him home. He started wandering and hallucinating. He received a CT scan that showed a 8cm mass on the front of his brain. The doctor sent him home. My mom found him out in the front yard after falling down the front steps. He finally was admitted to the hospital and has now received an MRI. Why are doctors so slow?

Thank you for this educational video. I have watched the other video you have presented. I put my comments there and you responded. I mentioned that I have TRIGEMINAL NEURALGIA due to Menigioma. It causes a lot of pain and will have radiation this month. I am taking Neurontin. In your opinion, Will this procedure guarantee that the pain from TN Will disappear? Then I don’t have to take Neurontin anymore? I hope you’ll give me your input in my case? Thank you

Dr🙏🏻 thanks very much i have meningioma I have a pain like sharp pain in and out and waiting for my MRI and being in touch with you Dr. Chan. Thank you very much for orientation about meningioma ❤

Hello, Dr.Chang... I have 2 meningiomas - 1 deep in the falx and 1 in parasaggital. The falx tumor has calcified and is large enough to be deemed a brain stone. Given proximity to the ACA and the calcification, I was told there would be near impossible removal odds. In addition, have the following complications: 1) Prior closed head trauma/stage 4 coma due to 1988 MVA, temporary shunt with temporary right paralysis 2) West Nile Fever in 2006, but per 2007 LP my 4.11 titers proved encephalitis 2A) When I stated I felt like I was going to be "world's youngest Alzheimer's patient", I learned I was APOE4 positive 3) Hormone induced infarct in rare left basal ganglia in 2008 4) Radiation for 6.5wks for DCIS in 2013 **This cancer was 100%/95% estrogen/progesterone** 5) Neuro lyme disease, 10wks antivirals in 2017 putting me on cane 3mos 6) Migraine induced TIA where learned of brain tumors in 2019, aphasia for 1.5mos and been on cane ever since 7) White matter disease per 11/2020 MRI after severe ocular migraine ** I do have 1st cousin with NF2** I have 2014 proof of falx tumor but had been told it was "changing migraine phenomenon". I even had 2016 LP to rule out pseudo tumor. That neurologist didn't add MS testing despite prior doc saying was a possibility. That LP did indeed show high spinal fluid pressure but it was NOT disclosed to me. I'm having ever-increasing issues with weakness and clumsiness. And after a 2wk migraine and another ER visit just last week, I'm now having much more frequent (and now painful) spasms. Last 2 MRI's show 1mm growth in 7mos. I have a ID# established with the Mayo Clinic every since the neuro lyme but no charity care has been offered to me despite this EXTENSIVE history.

how often should you get an MRI to watch a benign tumor?

I have a meningioma but my neurologist said there are no symptoms with this type. But I have pressure like headache etc. my tumour has doubled in size. I been referred to neuro oncology. Why would they do that?

6 recurrences over 8 years, 2 surgeries, 2 gamma knifes 1 imrt. Presenting growth in original tumor additional tumor and large amount edema. Meds make me dizzy and tired but I can live with it. Should I do just that? Have seizures and minor right side morbidity.

If you are diagnosed with a brain tumor the size of a golf ball and you went to for neurosurgeons to said that it was in the back of your head and two said that it was in the front of your head how do you decide what to do about the tumor

Thank you for this info, I had sudden stroke symptoms started a year ago on left side body from face -toes, numbness, speech issues, memory issues, weakness, and non epileptic like sezures. No known cause found, hospitalized multiple times. Found a 7mm mengioma on tentorium, my neurologist doesn't believe this to be an issue but no other medical findings for symptoms, recently getting headache in middle top of head, should I get second opinion?

...wow this is really complicated. I was thinking that if it were a younger patient with a pea-sized tumor (in a good location) that may have been there for 15 years without a change but could have very mild symptoms, or maybe it's a 5yo tumor that has no symptoms, then observation would probably make the most sense. But, sounds like, if the tumor were to be new and slowly growing, then there's a certain point that intervention would need to be done, because the tumor would be easier to remove while small, and because the tumor may change grade at some point and begin to grow more rapidly. And if the tumor were to be old and not growing, but have mild symptoms that seem to slightly worsen every several years, then there's the chance of calcium becoming a problem for removal, as well as the tumor just Being There being a problem for the patient. (does that sound right?)

Um, you might want to change your title - "Which Meningiomas Should Not Be Treated by Dr. Steven D. Chang." makes it sound like you should not have Steven D. Change treat your meningiomas.

Is brain meningioma can cause trigeminal neuralgia?

Hello! I've had a menigioma since 2017, and I've had proton beam therapy but my neurosurgeon said I wasn't a candidate for surgery because it's wrapped around my right carotid artery and into my cavernous sinus and I did lose my hearing for 3 weeks and I have right side facial numbness. Should I get a second opinion because he said it's to deep in the brain and I might have strokes or bleed to death on the table if they try to remove it.

Is it needed to undergo surgery if meningioma with marked perifocal oedema causing midline shift and deformity of brainstem ?

Does that grow or no

Benign brain tumor is rare or common for adults? Any brain tumor dr give 5 yrs of survive rate, after 5 ys what will happen why they can't survive? With out head pain if the eyes are light shake view or light blurring of some time what to do it is tumor? Pls ........ tell me

what are the symptoms? what if it's like a sharp needle that goes off and on?

I have bilateral sphenoid wing meningiomas. I had a craniotomy in 2018 at ucsf. My tumor has been growing and is causing vision problems and pain. I need a neurosurgeon who has the expertise.

What of small meningiomas that cause issues? I just had an MRI because of experiencing ongoing dizziness, headaches, and a seizure. I had 2 concussions in less than 8 months due to dizziness and falling. They found a 1cm tumor. I’ve yet to see a neurologist (my appointment is scheduled for 2 months out). I can barely drive or work due to dizziness. It’s in my frontal lobe. Will I be told to wait and observe?

.can a 3x3.7x2 tumor is for surgery?

I have a 2.8x2.7x4.7cm on my left Parietal lobe. I think calcified...I was just diagnosed on 11-17-21 I've seen 2 Dr's and both watched w&w???

I was diagnosed with this tumour how Do you know when it is growning.and how offen do they check it

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My mother was diagnose with 0.8cm calcified meningioma should we be worried about this and is operation an option?

Chronic high insulin also promotes tissue growth. Eat one meal a day.

My mom just was diagnosed she is 82 she has had headaches since she was a child really bad after suffering from a fall. She has had ct scans over the years and nothing showed up she even had 2 scans last year and the meningioma didn’t show up; the only difference she had the contrast dye this time. Is this a big meningioma or is it calcified not growing? Other findings: Chronic patchy cerebral white matter disease. A 1.5 x 2.0 x 1.6 cm enhancing extra-axial mass consistent with a chronic meningioma involves the posterior aspect of the right cavernous sinus without narrowing the cavernous ICA. Since she is old they don’t tell us much.

My spine was hurting really bad I went to the chiropractor after treating myself with Clindamycin also which helped the infection but after I went to the chiropractor the third time..it hurt so bad I didn't go back and something went to my brain and I felt every it if it over the last year while it has made my life hell...what could this be?

I had mass brain tumour 2008. Op..successfully removed all meningioma. 2017 l have second meningioma..size of a lentil . How many years before l would need operation?