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Hi there. I would be happy to go over the report with you and help explain terms, etc.
Yes, I was able to open the files. The images are not of high quality, however. It is also almost impossible to know what what one is looking at, and draw conclusions about, only a few images.
The other missing piece here would be her prior study...in other words, what findings are new and what were there before.
I see. Well, I would love to be able to tell you more, but can only speak in general terms and cannot really address the particulars of this study or her situation. TN can occur for several reasons. A metastatic lesion in the trigeminal nucleus would be an unusual one.
Incidentally, the images here are much higher up in the brain than the trigeminal nucleus where the TN nerve originates. Tumors of the brain are usually silent, unless and until they begin to create significant swelling or mass effect. If a met did hit the trigeminal nucleus this could cause pain, though it would be a bit unusual as mentioned.
There is one bright spot that may be artifact or might indicate a calcified lesion, which would suggest it had been there for a long time. The less bright white spots could possibly be mets but might also be from contrast material in the blood vessels.
You can ask until you're satisfied. :-)
Sharp. "lancinating" pains are a hallmark of TN. Most cases can be managed with medication. A few resistent or progressive cases require neurological work up and possibly surgery.
You should see a neurologist. These might be fasciculations or atypical seizure activity. Ultrasound is unlikely to help, in my estimation.
You're welcome. Hope all works out for the best for you and your mother-in-law.
Let me know if you have any additional questions. I would be happy to assist further.
Hi There. Let me know if you have any additional questions.
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