ANA Discussion Forum

Watch and Wait => For those in the 'watch and wait' status => Topic started by: Aprilcl on May 02, 2012, 03:33:38 pm

Title: Moving from W&W- Met with Barker/McKenna
Post by: Aprilcl on May 02, 2012, 03:33:38 pm
Hi all,
On Monday I met with Drs. Barker and McKenna.  I know that at one time Dr. Chang (stanford) was where I was heading, but I could not get over the distance (I am in CT). 
Barker and McKenna agree, surgery is the next step  :-\
I was very surprised that Dr. Barker said he has never seen my combination of symptoms: severe hearing loss with visible facial spasms (eye closure, nose lift, mouth curl).  He thinks I may have two rare conditions combined (AN and a blood vessel pressing on the facial nerve).  To get access to both, he doesn't want to go Translab.  Wants to go retrosig.  I would love your comments... please! 
Thanks, Chris
Title: Re: Moving from W&W- Met with Barker/McKenna
Post by: mk on May 02, 2012, 07:45:41 pm
Chris,

did your doctors mention the possibility of a facial neuroma? Even if small, it could cause these kinds of symptoms, and it would affect hearing as well as the two nerves run parallel to each other. It is impossible to tell from the MRI and the surgical approaches are the same for both.

Since this seems like a complicated situation, it may be advisable to seek multiple opinions.  Is the tumor inside the IAC? Some doctors consider that retrosigmoid is not as efficient for small tumors confined inside the IAC.

Good luck and keep us posted.
Marianna
Title: Re: Moving from W&W- Met with Barker/McKenna
Post by: Aprilcl on May 04, 2012, 05:35:13 am
Marianna - Thank you for you response.  Barker/McKenna are my second opinion.  Dr. Barker did consider facial neuroma.  But said he would not know until he got "in there"  :(

Although the tumor is inside the IAC, the concern is that there may be a vascular compression on the facial nerve.  He said it would only be visible with the retrosig opening.   
Has anyone heard of this?
Chris
Title: Re: Moving from W&W- Met with Barker/McKenna
Post by: Lynn Mc on May 09, 2012, 10:10:05 am
Chris,
Just checking to see how you are doing???