Sunday, September 21, 2014

Schwannoma Case Study # 12, Carol Zwick and the Story of Her Lumbar Spinal Cord Schwannoma

Welcome to Schwannoma Case Study # 12, this one featuring our friend Carol Zwick and the story of her lumbar spinal cord schwannoma.  Carol has been a long-time and treasured friend of the Schwannoma Survivors Facebook page, and we thank her for taking the time to tell us more about her story!  Neil
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1)  How old were you at the time of your diagnosis?


Both the onset of my symptoms and my diagnosis took place when I was 61.



2)  Do you have any history of Schwannomas in your family?

None and I had never known anyone who had one.  

3)  Where was your Schwannoma located?  And what were the symptoms that lead to your diagnosis?



My Schwannoma was located at L4 and L5. My only symptom was acute and debilitating pain. In approximately six weeks I was losing the ability to walk. In March I was hiking in Sedona and by the middle of April I was having difficulty walking. The onset and progression was very quick.


My internist diagnosed my tumor and I was sent for an MRI the same week I saw him. I know this is not the norm and I feel very fortunate to have the diagnosis and the surgery in a short period of time.  


4)   Could you describe, in whatever detail possible, what kind of surgical treatment was performed on your Schwannoma, and if you would consider it successful? (Or describe what you may know about the surgery that may yet be performed, if you haven't been operated on yet)


I had my surgery -- a laminectomy -- a month after diagnosis, and I consider it necessary and highly successful. 



 5)   Having gone through the experience, what do you think are the most critical questions for someone to ask their doctor about surgery and treatment of this kind of schwannoma?


The most important issue for me was the outcome. My doctor was very candid and let me know that the surgery might not put an end to the pain. I would also ask about the recovery process, especially the estimated length and how pain would be controlled. 




 6)   Can you describe what the recovery process was like for you – if you feel you  have made a positive recovery…and what things you have done that have been of most help to you?  (Also, you are free to describe what doctors tell you to expect from your recovery if you haven't been in surgery yet)

My recovery went well. I was in the hospital for two night and I was able to walk when I went home. In three weeks the worst of the pain was gone and I was walking three or four blocks a day. I went back to work a month after the surgery and I started physical therapy the next week. The therapy was very helpful and saw a physiatrist three months later. He had good advice about the long term prognosis, which was more his area than my surgeon's. 
The part I would have wanted more help with is going off the pain medication. I stopped too quickly -- there was no schedule -- and had a week of awful depression. 

7)  Are you able to do all or most the things you did before? (Also feel free to describe your abilities even if you are still living with the tumor or tumors)

With two exceptions I am back to where I was before my symptoms. I am able to walk without pain at least a mile at a time and my balance is good. The debilitating pain is gone. Per my physiatrist I don't do a lot of lifting above my head, e.g., a suitcase into the overhead on a plane. I am also unable to cross my right leg and I still have some nerve pain in my right leg -- hip to knee -- but it is tolerable.   


Schwannoma Case Study #11, Gina Forde and the Story of Her Thoracic Spinal Cord Schwannoma

Welcome to our Schwannoma "Case Study" # 11, which features friend of the Schwannoma Survivors page Gina Forde and the story of her thoracic spinal cord schwannoma.  Personal stories are a great value to the Schwannoma Survivors & Schwannoma Fighters Facebook page and blog - and we sincerely thank Gina for sharing her story, so as to get useful information out there and help others!  Neil
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1)  How old were you at the time of your diagnosis?  

27 

2)  Do you have any history of Schwannomas in your family?

 No 


3)  Where was your Schwannoma located?  And what were the symptoms that lead to your diagnosis? 

Spinal Schwannoma located at t10-t12.
Symptoms mainly consisted of severe back pain which was aggrivated when lying down. I was unable to lie down completely flat for a period of 10 months running up to diagnosis and operation during which time I had to sleep upright on a recliner seat at a 45 degree angle. Some nerve spasms through my legs.
General back pain was located in my lower left side and more specifically my hip which was why diagnosis took its time. It was 8 months of redirection from one department to another before my nerves were bought into question and an MRI was booked for my entire spinal cord.


4)   Could you describe, in whatever detail possible, what kind of surgical treatment was performed on your Schwannoma, and if you would consider it successful? (Or describe what you may know about the surgery that may yet be performed, if you haven't been operated on yet)

After discovering the lump via MRI (schwannoma diagnosis post surgery) I was referred to Queen Elizabeth hospital in Birmingham and within 2 weeks I was in for surgery. Laminectomy of t10-t11 and removal of intradural extramedually tumour. which was diagnosed as a schwannoma post surgery after tests.
I was in surgery for around 6 hours and in hospital for 9 days as I suffered with severe headaches.
I would consider my surgery to be successful. I have complete numbness on my left hip which I have been told I should regain feeling within 2 years. I have the odd spasm and mild back pain when lying down. I am nearly 10 months post op. I returned to full time employment 4 months post op. I am due for annual review with my surgeon in November.


5)   Having gone through the experience, what do you think are the most critical questions for someone to ask their doctor about surgery and treatment of this kind of schwannoma? 

In all honesty as I wasn't aware of what I had until afterwards I don't feel able to comment.
I got to the stage I was in so much pain I would have elected for surgery whatever the risk and I have only found out more about schwannomas through my own research.


6)   Can you describe what the recovery process was like for you – if you feel you  have made a positive recovery…and what things you have done that have been of most help to you?  (Also, you are free to describe what doctors tell you to expect from your recovery if you haven't been in surgery yet)


Heavily reliant on friends and family for the first month - moved to sisters.
Dependant on strong pain relief for first 8 weeks. Stable recovery with 3 months physiotherapy thereafter.




7)  Are you able to do all or most the things you did before? (Also feel free to describe your abilities even if you are still living with the tumor or tumors) 




Everything back to normal apart from numbness which doesn't hinder me. 

Thursday, September 4, 2014

Schwannoma Case Study # 10, Scott Sarah and The Story of His Acoustic Neuroma / Vestibular Schwannoma

Hi Everyone!  I'm pleased to offer our 10th Schwannoma Case Study, this one featuring our friend Scott Sarah and the story of his surgery and recovery from Acoustic Neuroma / Vestibular Schwannoma.  (Some of you may know that this is the kind of Schwannoma that affects the major nerves going from the ear to the brain.)  We thank Scott very sincerely for being a part of the Schwannoma Survivors & Schwannoma Fighters Facebook page and blog - and we wish him lots of luck for his continued recovery!  Neil
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1)    How old were you at the time of your diagnosis?

I was 37 when I found out about my Schwannoma.


2)    Do you have any history of Schwannomas in your family?

I do not have any family history of Schwannomas.


3)    Where was your Schwannoma located?  And what were the symptoms that lead to your diagnosis?

Mine was located in my middle ear, it is called a vestibular schwannoma, and it came from my brain stem and into my middle ear. It started with mild hearing loss which I thought was just fluid in my ear. And when I was 27 or 28 I got really sick and thought I got bells palsy but it was the schwannoma growing into my ear attaching itself to my facial nerve thus weakening it. Since it was such a slow grower it took another 10 years to completely fill my middle ear.


4)    Could you describe, in whatever detail possible, what kind of surgical treatment was performed on your Schwannoma, and if you would consider it successful? (Or describe what you may know about the surgery that may yet be performed, if you haven't been operated on yet)

On 6/30/14 they used the translabrynthe approach due to the size and they could not save my hearing. I have a fat graft in my ear, which hemorrhaged when they took the fat from my stomach. It was a 6-hour surgery due to the size of it.


5)    Having gone through the experience, what do you think are the most critical questions for someone to ask their doctor about surgery and treatment of this kind of schwannoma?

Can you save my hearing? What complications are there? How long will the surgery take from start to finish (they told me 4 hours weeks prior and then the day of it went to 6 hours)? How long will it take me to recover? What should I expect to feel in my left ear after surgery during recovery?


6)    Can you describe what the recovery process was like for you – if you feel you have made a positive recovery…and what things you have done that have been of most help to you?  (Also, you are free to describe what doctors tell you to expect from your recovery if you haven't been in surgery yet)

Recovery time should be 6-8 weeks. I had a complication with a csf leak through a suture and went back in for a week and had a lumbar drain; if that happens expect an extra week after you are discharged on top of the 6-8. I was back to work on light duty 10# and under 3 weeks after my leak. My balance was ok after the leak was fixed. I was very unsteady the first 5 days home but I think I recovered quickly because my ear was full already so my right ear was already compensating for it.


7)    Are you able to do all or most the things you did before? (Also feel free to describe your abilities even if you are still living with the tumor or tumors)

As of 8/25 I am back to full strength and can resume all activities. I can do everything I could do before. My ear at time has pressure but that is just the healing per my doctor.


Notes: a CSF leak is very serious get to the ER as soon as you can. Take it easy during recovery, you don’t want any setbacks.