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Joined: 11/3/2009
Posts: 3
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Hello,
I've been diagnosed with C1-C2 meningioma 2x2.5cm (antero-lateral) and I'm looking into the best treatment approach available.
I was advised to go with an open surgery for resection however I'd like to find out more from experts what is your opinion on trying CK treatment first, possible risks and leaving an open surgery as last resort. Have you seen, treated cases like that with CK? What would be possible symptoms of increased cord compression?
Thank you for your responses.
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Joined: 10/10/2008
Posts: 1435
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Yes, we have treated these with CK. Successfully. But it would require a careful review to make the decision. That is not necessarily an easy surgery.
Clinton A. Medbery, III, M.D.
St. Anthony Hospital Cyberknife Center
(405) 272-7311
buddy@swrads.org
Mail to:
Clinton A. Medbery, III, M.D.
Southwest Radiation Oncology
1011 N. Dewey Ave. #101
Oklahoma City, OK 73102
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Joined: 10/11/2008
Posts: 525
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What are the symptoms now?
Jerome J. Spunberg, M.D., FACR, FACRO
CyberKnife Center of Palm Beach
jspunberg@radiationoncologyinstitute.com
(561) 799-2828 Radiation Oncology Institute
10335 N. Military Trail, Suite C
Palm Beach Gardens, FL 33410
(561) 624-1717
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Joined: 11/3/2009
Posts: 3
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Thank you for your responses.
Symptoms refer to progressively worsening numbness both hands (LT>RT) and RT lower leg, weakness on LT UE>LE with some spasticity that affects walking. Numbness on LT neck , head, ear going through the torso to RT LE.
Regards,
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Joined: 10/10/2008
Posts: 1435
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Surgery would be most likely to give quick relief of symptoms, and would also give the highest risk of complications that could make things worse. CK would give the slowest relief of symptoms, but would give a much lower risk of complications.
Clinton A. Medbery, III, M.D.
St. Anthony Hospital Cyberknife Center
(405) 272-7311
buddy@swrads.org
Mail to:
Clinton A. Medbery, III, M.D.
Southwest Radiation Oncology
1011 N. Dewey Ave. #101
Oklahoma City, OK 73102
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Joined: 10/11/2008
Posts: 525
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With increased cord compression, the symptoms that are present now would worsen and paralysis could result, similar to any spinal cord injury.
Jerome J. Spunberg, M.D., FACR, FACRO
CyberKnife Center of Palm Beach
jspunberg@radiationoncologyinstitute.com
(561) 799-2828 Radiation Oncology Institute
10335 N. Military Trail, Suite C
Palm Beach Gardens, FL 33410
(561) 624-1717
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Joined: 10/10/2008
Posts: 1435
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We would need to see the scans, but that is pretty unlikely. That is a difficult surgical area, and all optioins would need to be considered.
Clinton A. Medbery, III, M.D.
St. Anthony Hospital Cyberknife Center
(405) 272-7311
buddy@swrads.org
Mail to:
Clinton A. Medbery, III, M.D.
Southwest Radiation Oncology
1011 N. Dewey Ave. #101
Oklahoma City, OK 73102
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Joined: 11/3/2009
Posts: 3
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Could CK treatment lead to further cord compression?
How long cord can be compressed without permanent damage?
For this area what are the most serious symptoms indicating worsening of the condition?
Thank you for your valuable input.
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Joined: 10/10/2008
Posts: 1435
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The cord could be directly damaged by the radiation. With proper care, that is extremely unlikely. There could be swelling later that could compress the cord, and usually that would be controllable with steroids. Ideally, you should see a surgeon who has a lot of experience with surgery in that area and a lot of experience with radiosurgery. Cases like yours are always presented in a conference here that is attended by multiple neurosurgeons and radiation oncologists, and maybe they have something similar where you live.
Clinton A. Medbery, III, M.D.
St. Anthony Hospital Cyberknife Center
(405) 272-7311
buddy@swrads.org
Mail to:
Clinton A. Medbery, III, M.D.
Southwest Radiation Oncology
1011 N. Dewey Ave. #101
Oklahoma City, OK 73102
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