Brief Answer: Sounds like a Thmbotic stroke, CT scan done? Detailed Answer: Hi. Thanks for coming to HealthCareMagic. I'm sorry to hear about the Strokes and the meningioma. Correct me if I am wrong, but I think your question is if the stroke was Hemmorhagic (a bleed into the brain) or Thrombotic (a blocked blood vessel, starving the brain of oxygen, sort of like a heart attack). I have no way of telling that, unless i see the actual CT or MRI scans that were done after the stroke. They could tell me right away. But if I were to hazard a guess, it really sounds like a thrombotic phenomenon here, though I could be wrong. As far as the Meningioma goes, have you found a good neurosurgeon locally who is looking at it now? Has it pressed against the brain? Is it causing you symptoms? The think about a meningioma, is that most of the time it is benign and we can wait and watch it and make sure it's not growing into something that would give you symptoms. I Hope this helps, feel free to follow-up. Any information you can give me will go toward us having a full and useful discussion and help us formulate a plan for your care. Vinay

---

Brief Answer: Meningioma's seizures and post op care Detailed Answer: Hello again, Thanks for following up. I am having a bit of difficulty in understanding the details of your request. But I think I've got it. Let me see if this is right. 1) What caused the meningioma? 2) In younger people, are strokes investigated differently? Should the underlying cause be investigated further 3) Is the meningioma that is pushing against the left optic nerve the cause of your left eye blindness 4) Why are you having seizures even in a coma. I hope these are the right questions. Let me try and explain the answers. 1) A Meningioma is an overgrowth of the tissues of the meninges and they occur most of the time because the meninges have been irritated and some of the cells have lost the ability to STOP dividing.. They divide very very slowly and they push against the surrounding structures. 2) Hypertension and vascular disease are the most common cause of strokes. These are issues that are unfortunately very common in people beyond the age of 45. In children and young adults, Hypertension and vascular issues are not common. So when THEY have a stroke, we have to look for other causes in the blood (like a problem in the way the blood clots, genetic diseases, etc). The whole idea behind this is to prevent another stroke, in adults, we do so mainly by giving blood thinners and controlling their hypertension. In children, the treatment depends entirely upon the cause 3) That meningioma seems to be what causing your issues. I see in your follow-up question that you have had surgeries done to debulk it and prevent pressure on the optic nerve. That is good. That is what I would do. 4) It looks like the multiple strokes, meningioma and surgeries themselves have combined to irritate the brain in the region. The irritation could be causing the seizures (though a meningioma ca cause seizures on it own). Seizures can hit anyone, whether they are concious or not, remember, even if you are comatose (or sleeping, or under sedation), your brain is still working and seizures can occur. I am reasonable sure that your neurosurgeon has put you on some sort of anti seizure medication. It will take time for the meds to work and along the way, your docts might have to adjust the dose and try different drugs or combinations of drugs to control the seizures entirely. But that's the best way we know. Very rarely if the seizures are causing you such trouble that you can't live, then the neurosurgeon might consider a much more radical surgery where they remove that entire region of the brain that is affected. This is rare and even IT doesn't always work. I hope this helps. Let me know what else I can help you with. Vinay

---