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Single brain met


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Exactly 2 years after the  first diagnoses and few treatments, my brother git diagnosed with a brain metastasis.  KT of the brain native and contrast scan.

Single met 20mm across, current symptoms are that he gets random numbness attacks of his arm and face. These attacks occured few times in the last month. Otherwise he is fine, but I do fear that his mental health will deteriorate after this, which is understandable.

It does not appear that there are other tumors elsewhere.

We are visiting the oncologist tomorrow to understand what are next steps.

Just wanted to share this, my brother was doing great since March 2022 when the scans showed no new progress or new tumours.

Will update with whatever the oncologists says. The neurologist says that surgery is possible, will discuss with oncologist if that is advisable.

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No progress or new tumors is the gold standard in our disease. I do hope a way forward is found to deal with the small brain met.

Stay the course.


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We are discussing options, there is a possibility for a regular operation because it is a surface met, (right side, temporal) but I'd prefer gamma knife.

We are waiting for MRI scan and visit the oncologist.

Meanwhile, my brother developed a balance issue but it started right after he started taking tegretol (prescribed to prevent seazures) and dexamethasome injections 3 times daily.

Anyone with experience on (tegretol) carbamazepine side effects?

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The MRI confirmed that it is one met, again neurosurgeon and the oncologist said that it is right on the surface of the brain, nothing complicated for regular surgery...still the skull is being opened.

Both of them independently expressed concern about the nature of the tumor. As biopsy has not beenade they are not certain if it is a metastasis or something new. Something about the coloring in the scan...The neurologist also said that there is no imidiate danger for complications.

I was a bit amazed that the oncologist dismissed my question about gamma knife, so will have to persist on next appointment or ask another oncologist.

The neurologist changed the tegretol with keppra, this improved the balance issues my brother was having after started with the antiepiliptic therapy.

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