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Brain edema 7 months after radiation
My father was perfectly alright but went for a general overall check up and found out that he had a benign brain tumor. He was Diagnosised right parasagittal meningioma. Since he had no symptoms the surgeon radiation therapy so we got the radiation done 6X-FFF photons. Post that my dad started having symptoms like weakness in limbs and started having seizures. An MRI was done after 6 months post radiations and found out that their is slight reduction in the size of tumor but there was edema in the areas around then we started taking omnicortil 5 -4 times a day  and used it for about 2 months then the doc suggested to taper it down and we did. Suddenly he was unable to move his left leg and we got another MRI which shows significant increase in edema. We are worried about increase in edema, what is the right thing to do now? Weather to go for the surgery ? Or to wait for the radiation to do its thing ? And how long can we take corticosteroids?
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. I understand that this is a difficult time for you and your family. Here’s a simple breakdown of the situation: Increased Edema: The rise in swelling (edema) and the weakness in his left leg are serious signs that need attention. This could mean that the brain is reacting to the tumor or the radiation treatment. It's important to keep a close watch on these changes. Surgery: Given the new symptoms, it’s important to reassess his condition. Surgery might be an option if:    The swelling is causing major problems with movement or function.    There’s a risk of further complications.    The benefits of surgery are greater than the risks.    I suggest you discuss these options with his doctors to see if surgery is the right choice now. Corticosteroid Use: Medications like omnicortil can help reduce swelling, but they should be used carefully because long-term use can have side effects. Follow-Up Care: Regular check-ups and MRI scans are very important to monitor any changes in the tumor and surrounding areas. If you have any more questions, feel free to ask. Dr. K. VAMSHI KRISHNA MBBS, MS, Mch(NIMS) Sr. Consultant Brain & Spine Surgeon Fellowship in Advance Spine Endoscope Surgery(Germany) Regd.No: 66020 Care Hospitals, Hi-Tech City, Hyd-32. Website - https://drvamshineurosurgeon.com/
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i have not seen the scans, but looks like surgery is the next logical step.
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Consult a another Neurosurgeon
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It depends on the size on tumour. It's not advisable to continue corticosteroid s
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Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.