AboutClaes-Gustaf Nordquist, M.D. Expertise I`m a doctor of medicine and specialist in radiation therapy and medical oncology. I have a long time experience of these tumours.
Experience I'm a Doctor of Medicine. Licensed/certified physician and surgeon and specialist in Medical Oncology and Radiation therapy in Sweden, Denmark, Finland, Iceland, Norway and the European Union. Background in Radiation Therapy, Medical Oncology, Radiation Protection, Nuclear Medicine, Diagnostic Radiology, Gynecological Oncology, Clinical Pathology, Clinical Cytology,Hematology and Internal Medicine. M.D. from the faculty of medicine, Royal Karolinska Institute, Stockholm, Sweden. Have also been an exchange student at the Hebrew University, Hadassah Medical School, Jerusalem Israel. Former medical consultant, Swedish National Board of Radiation Protection. Former Police Surgeon and Medical Examiner, Stockholm Police Department. Former Chief Medical Officer, The Royal Guards, The Royal Horse Guards and the Royal Household Brigade, Royal Swedish Army Medical Corps. Now in private practice in Stockholm, Sweden. I also answer questions about Oncology (General Cancer),
General History,
Military History,
Breast Cancer,
Colon Cancer.
Question QUESTION: can a lession of 3.6CMx3.7CMx4.1CM in the brainstem cause
ONLY a little double vision in a 6 yrs girl.
she is a very healthy girl, only a little double vision,absolutly no other sysmptoms
Regards
ANSWER: It may cause double vision but there probably should be other symptoms as well. Please copy her MRI & CT brain scan reports here! You should discuss her case very thoroughly with her neurologist! What kind of lesion is it?
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QUESTION: no other symptoms.
Resultats:
fosse posterieure: presence d’un processus expansif heterogene et infiltrant de 4.1CM d’axe transverse de 3.7CM de hauteur et de 3.1CM d’axe antero-posterieur accupant le tronc cerebral avec un aspect exophytique de la calotte protuberantielle nottament en para-sagital gauche encastrant le tronc basilaire qui reste permeable. Cette lesion ne semble pas s’etendre vers les pedoncules cerebelleux moyens ni superieurs. Absence d’extension mesencephalique identifialble. La masse deforme et aplatie le plancher du quatrieme ventricule sans dilatation de l’aqueduc de silvius. Une prise de contraste ovalaire irreguliere de 1.3x1CM est visible dans la partie anterieure et lateral gauche de ce processus. La prise de contraste parait en cocarde irreguliere et pourrait comporter des residus hemorragiques en hyposignal sur les sequences T2 s’accentuant sur les sequences en diffusion protonique. Une invagination de la masse exophytique est visible en avant de l’olive bulbaire au dessus et en avant de l’abouchement du segment V4 de la vertebrale gauche au tronc basilaire sans engagement des amygdales cerebelleuses dans les trous accipitales. Absence de rehaussement duro-meninge pathologique identifiable par ailleurs.
Etage sus-tentoriel : expansion normale et symetrique des ventricules lateraux sans deplacement des structures medians. Absence d ’anomalie majeure du signal de la substance blanche peri-ventriculaire sous-corticale. Integrite des noyaux gris centraux, du calleva et du revetement cortical. Le sinus sagital superieur et permeable.
Conclusion : L’IRM cerebrale realisee avant et puis après injection du produit de contraste releve la presence d’un large processus expansif et infiltrant du tronc cerebral deformant le quatrieme ventricule sans dilatation des cavites ventriculaire a l’etage sus-tentoriel. La masse comporte une zone de rehaussement heterogene en cocarde irreguliere. L’hypothese d’une lesion neuro-gliale et a soulever en premier
Answer My French is today rather rusty due to very limited use. However after reading the report I can only say that even in the absence of more symptoms - which at present I can not explain - this is a VERY serious case and you MUST discuss it with a neurosurgeon (which I'm not, I'm a medical oncologist & radiation therapist). The position of the tumor will however probably make any surgical intervention at least very tricky. The tumor is most probably too big for radiological treatment with the GammaKnife and conventional radiation can not cure it - certainly not alone. Please do keep me posted!
