Questions and Information About Cavernous Angioma

question for those have had resections

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I am now 2 months post-op and  I had a CT done July 29th (one week prior to my post-op MRI) because the night before I woke with throbbing pain where CA was (was better the next afternoon but lingered for days), but since we were going camping for 4 days the next day, I thought I should go check it out.
The CT showed what they thought looked like possible hemorrhage but they didn't know if it was left over from the resection.
As for the MRI Aug. 4th, the tech decided to do with contrast after reviewing the non-contrast images with the radiologist.
The report states " an area of high signal intensity on T1 & T2 images in left PL....etc... Impression: "Focal area of hemorrage in left parietal lobe with mild edema around this. This requires follow-up with a repeat MRI in 3 months time".

When I view the images, I see white filled in where the cavernoma was, usually representing blood to my knowledge. When I see other people's post op images-this space is black, indicating the cerebral spinal fluid occupying the space where the lesion was. Is it possible that I have had a hemorrhage since the surgery???
I have probably overdone it physically as it's impossible to sit around for 6 weeks. Could elevated blood pressure caused a bleed?
I sent the scans to Dr. Spetzler and his radiologist said that it show subacute blood which could be post surgical blood products or a new hemorrhage. I am to have another MRI in 6 months to rule out any CM residue. He did say that the operative cavity was completely clean :)
So for those of you who've had resections, have your post-op MRI's looked or showed anything like this. Anyone have post surgical blood that eventually went away or a new hemorrhage after surgery.
It's hard not to worry about what's going on, especially when I got an intense throbbing headache again two nights ago in the same spot. It is a bit better now.
Any thoughts would be appreciated.
Hi Linda,
Sorry to hear you're having some possible issues....and no, I haven't had surgery yet. I did have a few questions though. Did they do an MRI right after surgery...maybe the same day..or 1-2 days after? (I think they normally do that.) Does the new MRI look the same or different than the immediate post-op MRI? Would they be willing to do another MRI prior to 6 months....to put your mind at rest...seems like 6 months is a long time to wait if you're possibly activly bleeding on/off? Good luck and best wishes!
I was constantly fussed at in the weeks following my surgery because I am not great at sitting either :)  I had blood in the area following my surgery remaining from the initial bleed, though dr. samson cleaned up the area he was working in.  The blood will take a while to completely dissipate, even if you have had surgery... though you need to TRY to take it easy.  Take advantage of the fact people will be so willing to pitch in and help you with things.  Brush up on giving directions haha.  If your symptoms mimic those you experienced when you had your bleed, I would check with the doctor.  If you are concerned, you can always call his nurse (Linda, Dr. Samson's nurse is still on my speed dial) and others recommend this as well.  His nurse can run it by him, and let you know if you should come in.
I am having another MRI in 2.5 months. My family doctor thinks 6 months is too long to wait and I obviously have no problem with that.
They didn`t do a post-op MRI right after surgery because they said I could have it done at home in Canada where it wouldn`t cost me anything.
Will let you know how that goes.
Quote (linda_mom of 2 @ Aug. 20 2010,16:32)
I am now 2 months post-op and  I had a CT done July 29th (one week prior to my post-op MRI) because the night before I woke with throbbing pain where CA was (was better the next afternoon but lingered for days), but since we were going camping for 4 days the next day, I thought I should go check it out.
The CT showed what they thought looked like possible hemorrhage but they didn't know if it was left over from the resection.
As for the MRI Aug. 4th, the tech decided to do with contrast after reviewing the non-contrast images with the radiologist.
The report states " an area of high signal intensity on T1 & T2 images in left PL....etc... Impression: "Focal area of hemorrage in left parietal lobe with mild edema around this. This requires follow-up with a repeat MRI in 3 months time".

When I view the images, I see white filled in where the cavernoma was, usually representing blood to my knowledge. When I see other people's post op images-this space is black, indicating the cerebral spinal fluid occupying the space where the lesion was. Is it possible that I have had a hemorrhage since the surgery???
I have probably overdone it physically as it's impossible to sit around for 6 weeks. Could elevated blood pressure caused a bleed?
I sent the scans to Dr. Spetzler and his radiologist said that it show subacute blood which could be post surgical blood products or a new hemorrhage. I am to have another MRI in 6 months to rule out any CM residue. He did say that the operative cavity was completely clean :)
So for those of you who've had resections, have your post-op MRI's looked or showed anything like this. Anyone have post surgical blood that eventually went away or a new hemorrhage after surgery.
It's hard not to worry about what's going on, especially when I got an intense throbbing headache again two nights ago in the same spot. It is a bit better now.
Any thoughts would be appreciated.

NO...DON'T EXERT YOURSELF AND BLOOD PRESSURE DON'T HELP. CA'S ARE THANK GOD LOW PRESSURE FLOWING....A LIGHT SIGNIFYS BLOOD. WHERE YOU HAVE YOUR SURGERY. DEMAND A 3 MONTH FOLLOW-UP MRI AND BE YOUR OWN ADVOCATE.

MY SURGON TOLD ME MOST PEOPLE USUALLY DON'T MAQKE IT OFF THE TABLE WITH THIS KIND OF SURGERY ALMOST A YEAR POST OP. I REPLIED THE #### THEY DON'T. JUST VISIT DR. SPETZLERS HOSPITAL AT THE BARROW INTITUTE. BY THE WAY THEY DIDN'T THINK I'D MAKE. IT.....FOOLED THEM ALL...I KNOW WHO GUIDED HIS HAND......MY SURGEON WAS SO PROUD I MADE IT WHICH BEGS THE QUESTION AS TO HOW MANY RESECTIONS HE HAS DONE.
My 6 month post-op MRI looked fine from what I have been told. It has been a year now and I am not due another one until 1 1/2 years post-op.  Seeing as how my balance and vision issues mainly showed up after the surgery, and the right side numbness persists, I wouldn't really know how to tell if I was having another hemorrhage anyway.

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