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What Causes Severe Nausea After Surgical Removal Of Meningioma?
Question: I have had positional nausea since surgery to to remove a meningioma at c4-c5 in 2011 - I as as left with on partial use of my arm and have had nausea for 4 years treated with anti emitics: Remeron 35 my and amitriptyline 75 mg - I keep having to increase these - I believe I have a spinal fluid leak as the tumor had pierced the dura and Dr said the dura could not be closed- is there an expert in this field and would a blood patch close the dura ? If there is an expert please recommend them - I cannot live with this disabling nausea. I am also concerned about cerebral hypotension as Inseem to have trouble with my memory and thinking - please help - thank you. XXXXXXX XXXXXXX
Brief Answer:
Surgery is the definitive treatment.
Detailed Answer:
Hello again XXXXXXX and thanks for being on HCM.
I have read your question and understand your concerns.
Age 68 is not a contraindication about being treated, nausea could be associated with low intracranial pressure.
There are several treatment ways about CSF leak after surgery that range from bed rest, lumbar drain, epidural blood patches, shunting in cases of pseudomeningocele and reconstructive surgery.
In my opinion surgery is the definitive treatment about pseudomeningocele and CSF leakage and in hands of a experienced spine surgeon results in high success rate.
I can mention some of most distinguished spine surgeons in USA:
- XXXXXXX R. Vaccaro, M.D., Ph.D. is a spine surgeon with the Rothman Institute in XXXXXXX
- K. XXXXXXX Riew, M.D. is the Mildred B. XXXXXXX Professor of Orthopedic Surgery, is a professor of neurological surgery, the Chief of the Surgical Spine Center and Director of the Cervical Spine Institute.
- XXXXXXX L. Gokaslan, M.D. is professor of Neurosurgery, Orthopedic Surgery and Oncology at Johns XXXXXXX
- XXXXXXX J. Sucato, M.D., M.S. is Chief of Staff at XXXXXXX Scottish Rite Hospital associate professor in the Department of Orthopaedic Surgery at The University of XXXXXXX Southwestern Medical Center at XXXXXXX
Hope this helps you.
Let me know if I can assist you further.
Greetings.
Surgery is the definitive treatment.
Detailed Answer:
Hello again XXXXXXX and thanks for being on HCM.
I have read your question and understand your concerns.
Age 68 is not a contraindication about being treated, nausea could be associated with low intracranial pressure.
There are several treatment ways about CSF leak after surgery that range from bed rest, lumbar drain, epidural blood patches, shunting in cases of pseudomeningocele and reconstructive surgery.
In my opinion surgery is the definitive treatment about pseudomeningocele and CSF leakage and in hands of a experienced spine surgeon results in high success rate.
I can mention some of most distinguished spine surgeons in USA:
- XXXXXXX R. Vaccaro, M.D., Ph.D. is a spine surgeon with the Rothman Institute in XXXXXXX
- K. XXXXXXX Riew, M.D. is the Mildred B. XXXXXXX Professor of Orthopedic Surgery, is a professor of neurological surgery, the Chief of the Surgical Spine Center and Director of the Cervical Spine Institute.
- XXXXXXX L. Gokaslan, M.D. is professor of Neurosurgery, Orthopedic Surgery and Oncology at Johns XXXXXXX
- XXXXXXX J. Sucato, M.D., M.S. is Chief of Staff at XXXXXXX Scottish Rite Hospital associate professor in the Department of Orthopaedic Surgery at The University of XXXXXXX Southwestern Medical Center at XXXXXXX
Hope this helps you.
Let me know if I can assist you further.
Greetings.
Above answer was peer-reviewed by :
Dr. Arnab Banerjee
I have been told by 3 neurosurgeons that surgery would be too dangerous since I developed scar tissue and my cord was pushed or pulled over to the right - is that your opinion too? Apparently it is too close to my vertebral artery - sorry for so many questions - I am just scared to death
Brief Answer:
Follow up.
Detailed Answer:
Welcome back, you can ask as many questions as you need.
Of course, surgery could have dangerous aspects that need to be addressed properly, before taking a decision, especially in cases of affected normal anatomy by previous surgical procedures like yours, but it is not impossible.
Vertebral artery shouldn't be a problem during surgery, since it is a separate anatomical entity.
As with other surgical procedures, there is need to weight between the advantages and disadvantages of surgery, and expectations.
In my opinion, if surgery really needed, in experienced hands could give positive results.
Hope you found the answer helpful.
Greetings.
Follow up.
Detailed Answer:
Welcome back, you can ask as many questions as you need.
Of course, surgery could have dangerous aspects that need to be addressed properly, before taking a decision, especially in cases of affected normal anatomy by previous surgical procedures like yours, but it is not impossible.
Vertebral artery shouldn't be a problem during surgery, since it is a separate anatomical entity.
As with other surgical procedures, there is need to weight between the advantages and disadvantages of surgery, and expectations.
In my opinion, if surgery really needed, in experienced hands could give positive results.
Hope you found the answer helpful.
Greetings.
Note: For further follow up on related General & Family Physician Click here.
Above answer was peer-reviewed by :
Dr. Yogesh D
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