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Brain Met – Seriously Answer needed

Forums General Melanoma Community Brain Met – Seriously Answer needed

  • Post
    Lisa13
    Participant

      2 months ago, I had 2 brain mets gamma knifed. Both were in areas that wern't in a problem area, but the 2.5 cm one was kind of close to a movement area.  Anyway, I've had no symptoms and have my first brain MRI this Thursday.

      2 months ago, I had 2 brain mets gamma knifed. Both were in areas that wern't in a problem area, but the 2.5 cm one was kind of close to a movement area.  Anyway, I've had no symptoms and have my first brain MRI this Thursday. I started noticing my right hand is feeling weird – just maybe a tad bit weak, but I'm still able to do things with it.   Now, if my brain is swelling which apparently it does after gamma knife, would this also explain the symptom considering it's near the movement area?  Should I email the radiologist and ask if I should go in now??  I'm freaking out a bit, but I know sometimes people get the symptoms when the brain swells.

    Viewing 5 reply threads
    • Replies
        Karen M H
        Participant

          Are you taking anything like Dexemethasone for possible brain swelling?  You should put a call in to your MD and make them aware of your symptoms.  I was given steroids to reduce side effects from the cyberknife and also the WBRT. 

          Karen M H
          Participant

            Are you taking anything like Dexemethasone for possible brain swelling?  You should put a call in to your MD and make them aware of your symptoms.  I was given steroids to reduce side effects from the cyberknife and also the WBRT. 

              Lisa13
              Participant

                The radiologist just emailed me and said it could very well be swelling from the larger brain met that was gamma knifed 2 months ago. He said it's very normal for symptoms to occur months after gamma knife – especially with swelling. He told me to hang tight until Thursday which is is my brain MRI.  I was never given steroids at all after gamma knife. My oncologist was surprised they didn't give me any, but this is the only symptom I have at the moment. 

                Do the steroids cause you any problems?  I hate any form of steroids because they say it causes your immune system to weaken and we need a strong immune system with melanoma.  I started Entocort (a steroid) a week ago as I developed some stomach/digestive problems after ipi 3 months ago.

                Lisa13
                Participant

                  The radiologist just emailed me and said it could very well be swelling from the larger brain met that was gamma knifed 2 months ago. He said it's very normal for symptoms to occur months after gamma knife – especially with swelling. He told me to hang tight until Thursday which is is my brain MRI.  I was never given steroids at all after gamma knife. My oncologist was surprised they didn't give me any, but this is the only symptom I have at the moment. 

                  Do the steroids cause you any problems?  I hate any form of steroids because they say it causes your immune system to weaken and we need a strong immune system with melanoma.  I started Entocort (a steroid) a week ago as I developed some stomach/digestive problems after ipi 3 months ago.

                  FormerCaregiver
                  Participant

                    Lisa, steroids can be beneficial in the short-term at low dosages. See:
                    http://www.medicinenet.com/budesonide-oral/page2.htm#SideEffects and
                    http://en.wikipedia.org/wiki/Dexamethasone

                    However, problems start to emerge with long-term use, as higher dosages are needed to
                    maintain effectiveness. I am not sure if there are better alternatives, although your
                    oncologist might be able to suggest something.

                    The immune system is very complex, and although steroids generally act to suppress the
                    immune response, I don't feel that they affect melanoma treatment significantly.

                    Good luck with the MRI on Thursday.

                    Take care

                    Frank from Australia

                    FormerCaregiver
                    Participant

                      Lisa, steroids can be beneficial in the short-term at low dosages. See:
                      http://www.medicinenet.com/budesonide-oral/page2.htm#SideEffects and
                      http://en.wikipedia.org/wiki/Dexamethasone

                      However, problems start to emerge with long-term use, as higher dosages are needed to
                      maintain effectiveness. I am not sure if there are better alternatives, although your
                      oncologist might be able to suggest something.

                      The immune system is very complex, and although steroids generally act to suppress the
                      immune response, I don't feel that they affect melanoma treatment significantly.

                      Good luck with the MRI on Thursday.

                      Take care

                      Frank from Australia

                      FormerCaregiver
                      Participant

                        Lisa, steroids can be beneficial in the short-term at low dosages. See:
                        http://www.medicinenet.com/budesonide-oral/page2.htm#SideEffects and
                        http://en.wikipedia.org/wiki/Dexamethasone

                        However, problems start to emerge with long-term use, as higher dosages are needed to
                        maintain effectiveness. I am not sure if there are better alternatives, although your
                        oncologist might be able to suggest something.

                        The immune system is very complex, and although steroids generally act to suppress the
                        immune response, I don't feel that they affect melanoma treatment significantly.

                        Good luck with the MRI on Thursday.

                        Take care

                        Frank from Australia

                        Lisa13
                        Participant

                          The radiologist just emailed me and said it could very well be swelling from the larger brain met that was gamma knifed 2 months ago. He said it's very normal for symptoms to occur months after gamma knife – especially with swelling. He told me to hang tight until Thursday which is is my brain MRI.  I was never given steroids at all after gamma knife. My oncologist was surprised they didn't give me any, but this is the only symptom I have at the moment. 

                          Do the steroids cause you any problems?  I hate any form of steroids because they say it causes your immune system to weaken and we need a strong immune system with melanoma.  I started Entocort (a steroid) a week ago as I developed some stomach/digestive problems after ipi 3 months ago.

                        Karen M H
                        Participant

                          Are you taking anything like Dexemethasone for possible brain swelling?  You should put a call in to your MD and make them aware of your symptoms.  I was given steroids to reduce side effects from the cyberknife and also the WBRT. 

                          lhaley
                          Participant

                            Lisa,

                            You know that our timings have been very similar.  I was immediately put on steroids immediately because I already had edema when the tumor was discovered and was bleeding by the SRS.  I had an mri at 2 weeks after the SRS at EMR.  Boy, I thought that was a headache, no later I found out what headaches really were.   Had all sorts of problems and I blamed everything on the steroids.    

                            As soon as I was told that the tumor was shrinking they had me weaning (kept having headaches everytime they were lowering).  It was then about 2 months after the procedure.  I was thinking that I was having problems with the weaning.  Was down to the point where 2 weeks I would have been off. On Tuesday when we were leaving for my PET I started seeing doubles, scared to death, the good MRI had just been less then a month!  (my dates might be off some).  I went to walk into the hospital for the scan and couldn't even walk. A guard went and got a wheel chair.

                            We got ahold of my oncologist and they fit in an mri immediately.  The tumor has continued to shrink. It's edema – nucrosis of the tumor.  The area is huge!  That day the oncologist put me back on 4 mgs and by the next day I was switched to 8 mgs.   I keep reminding myself that I have seen the scan myself –   Last night I had such nerve headaches from the eye to my tooth (this is how it started) . I want this appointment coming up to be over but my husband calmed me down this morning that they have to wait to see if the dex does bring the swelling down.  THis afternoon I didn't do as much with my eyes and right now there is no headache.  I'm trying to avoid calling them to be put on any higher amount!!!!  

                            I go on the 18th to talk to the team to decide what they will do next. Will the steroids do the job or will they release some of the pressure or a crainectomy.   I do still see the double at certain distances.  This is so scary.   I promise you that I would not have been able to take care of a child, in the attempting to get off of the steroids my husband has been taking care of me.

                            My point is that you might have developed edema because this can happen when the tumor (especially that was large) is now swelling.  

                            Remember that the endecort is not the same type of steroid.   If they have to put you onto dex, maybe they can reintroduce ippi immediately. 

                            So, this can be a normal side effect of some edema.  Oh yeah, my oncologist told me at this appointment that it can take up to 10 months to settle it all done!

                            Waiting is the hardest point.

                            Linda

                            lhaley
                            Participant

                              Lisa,

                              You know that our timings have been very similar.  I was immediately put on steroids immediately because I already had edema when the tumor was discovered and was bleeding by the SRS.  I had an mri at 2 weeks after the SRS at EMR.  Boy, I thought that was a headache, no later I found out what headaches really were.   Had all sorts of problems and I blamed everything on the steroids.    

                              As soon as I was told that the tumor was shrinking they had me weaning (kept having headaches everytime they were lowering).  It was then about 2 months after the procedure.  I was thinking that I was having problems with the weaning.  Was down to the point where 2 weeks I would have been off. On Tuesday when we were leaving for my PET I started seeing doubles, scared to death, the good MRI had just been less then a month!  (my dates might be off some).  I went to walk into the hospital for the scan and couldn't even walk. A guard went and got a wheel chair.

                              We got ahold of my oncologist and they fit in an mri immediately.  The tumor has continued to shrink. It's edema – nucrosis of the tumor.  The area is huge!  That day the oncologist put me back on 4 mgs and by the next day I was switched to 8 mgs.   I keep reminding myself that I have seen the scan myself –   Last night I had such nerve headaches from the eye to my tooth (this is how it started) . I want this appointment coming up to be over but my husband calmed me down this morning that they have to wait to see if the dex does bring the swelling down.  THis afternoon I didn't do as much with my eyes and right now there is no headache.  I'm trying to avoid calling them to be put on any higher amount!!!!  

                              I go on the 18th to talk to the team to decide what they will do next. Will the steroids do the job or will they release some of the pressure or a crainectomy.   I do still see the double at certain distances.  This is so scary.   I promise you that I would not have been able to take care of a child, in the attempting to get off of the steroids my husband has been taking care of me.

                              My point is that you might have developed edema because this can happen when the tumor (especially that was large) is now swelling.  

                              Remember that the endecort is not the same type of steroid.   If they have to put you onto dex, maybe they can reintroduce ippi immediately. 

                              So, this can be a normal side effect of some edema.  Oh yeah, my oncologist told me at this appointment that it can take up to 10 months to settle it all done!

                              Waiting is the hardest point.

                              Linda

                              lhaley
                              Participant

                                Lisa,

                                You know that our timings have been very similar.  I was immediately put on steroids immediately because I already had edema when the tumor was discovered and was bleeding by the SRS.  I had an mri at 2 weeks after the SRS at EMR.  Boy, I thought that was a headache, no later I found out what headaches really were.   Had all sorts of problems and I blamed everything on the steroids.    

                                As soon as I was told that the tumor was shrinking they had me weaning (kept having headaches everytime they were lowering).  It was then about 2 months after the procedure.  I was thinking that I was having problems with the weaning.  Was down to the point where 2 weeks I would have been off. On Tuesday when we were leaving for my PET I started seeing doubles, scared to death, the good MRI had just been less then a month!  (my dates might be off some).  I went to walk into the hospital for the scan and couldn't even walk. A guard went and got a wheel chair.

                                We got ahold of my oncologist and they fit in an mri immediately.  The tumor has continued to shrink. It's edema – nucrosis of the tumor.  The area is huge!  That day the oncologist put me back on 4 mgs and by the next day I was switched to 8 mgs.   I keep reminding myself that I have seen the scan myself –   Last night I had such nerve headaches from the eye to my tooth (this is how it started) . I want this appointment coming up to be over but my husband calmed me down this morning that they have to wait to see if the dex does bring the swelling down.  THis afternoon I didn't do as much with my eyes and right now there is no headache.  I'm trying to avoid calling them to be put on any higher amount!!!!  

                                I go on the 18th to talk to the team to decide what they will do next. Will the steroids do the job or will they release some of the pressure or a crainectomy.   I do still see the double at certain distances.  This is so scary.   I promise you that I would not have been able to take care of a child, in the attempting to get off of the steroids my husband has been taking care of me.

                                My point is that you might have developed edema because this can happen when the tumor (especially that was large) is now swelling.  

                                Remember that the endecort is not the same type of steroid.   If they have to put you onto dex, maybe they can reintroduce ippi immediately. 

                                So, this can be a normal side effect of some edema.  Oh yeah, my oncologist told me at this appointment that it can take up to 10 months to settle it all done!

                                Waiting is the hardest point.

                                Linda

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