HomeAnswersNeurologycerebellum tumorI experience headache, dizzy spells and brain fog due to benign cyst in brain. Please help.

Benign cluster of cysts in my brain grows from 1.2 cm to 2 cm over a long period. Is it dangerous?

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The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

Dr. Vinodhini J.

Published At January 25, 2020
Reviewed AtJanuary 25, 2020

Patient's Query

Hello doctor,

I am looking for advice and maybe a consultation from a neurologist.

I have a benign cluster of cysts at the back of my brain that was about 1.2 cm in size when diagnosed after an MRI. I received this info from my family doctor who read the radiologists report that indicated no further action was needed. I was not given a cause and prognosis was all good given the small size and benign appearance. After some unusual headaches, I had a follow up MRI that showed no change and was told nothing further was needed. Before few months, I started having almost daily headaches, tingling in my head, dizzy spells, memory issues and brain fog, occasional nausea and pressure sensations in my head. An MRI was ordered, and my appointment for that takes months in my place. The symptoms seemed to come and go so I and were not interfering with life so I just waited for the appointment which was last week.

I had a third MRI and was told the cysts have grown to over 2 cm and the report shows that rather than a cluster of cysts as diagnosed before, it could actually be a slow growing tumor. In addition, there is now and second unusual spot on the front of my brain. Since it is unclear what is going on, my family doctor has requested to have another MRI. As well my doctor is requesting an MRA because my father had a massive brain aneurysm at age 48, so she has suggested looking at the vessels as well. Then my doctor will refer me to a neurologist.

However, this process takes time in Canada so I have a long wait time based on the fact that I am stable and the initial tumor is slow growing. I likely would not have the repeat MRI or MRA tests for four to eight weeks with neurology consult in three to four months.

I am looking for advice on what to do next. I am an otherwise healthy 49-year-old woman. However, now I am feeling some anxiety over this which has resulted in sleeplessness. I really want to get to the bottom of what is going on sooner than later.

I am currently taking Lithium 600 mg and Lamictal 100 mg for bipolar depression.

Hello,

Welcome to icliniq.com.

I have reviewed your case. It is very much a benign tumor which grew 1.2 cm to 2 cm. So it is not an emergency at all. First thing, I want to know which area of the brain having cystic lesion? So can you send me the radiologist reports of MRI and preferably photos of important MRI images so I can see how many cysts or tumors in which part of the brain is located. As treatment and prognosis of any brain tumor depend on size, number, and location.

Second thing, please describe your symptoms in detail so I can correlate that is it related to this or not.

Waiting for your response.

Patient's Query

Thank you doctor,

I started with daily headaches a few months before. They have subsided but I still have random pressure sensations in my head, especially behind my eyes. I feel like I want to push my eyes back and it relieves the pressure. Sometimes, I also put pressure on my throat under my chin as it feels like a lot of pressure pumping and pushing on the blood vessels stops it for a moment.

I also have dizzy spells and it feels like a switch goes off where I am totally fine then feel like a wave of dizziness comes over me. But it passes quickly. I have nausea as well. Sometimes I have a tingling sensation in my head as well. Other times I get a zapping or electrical sensation. On top of this, I have had increasing brain fog and minor memory issues. None of these symptoms seem to last long and they come and go. None of them are debilitating but rather annoying. Nothing is interfering with day to day life but the brain fog is getting annoying. The MRI report is attached.

Hi,

Welcome back to icliniq.com.

I have seen your MRI report. (attachment removed to protect patient identity).

Your MRI shows multiple cystic lesions in cerebellar vermis.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Prakashkumar P Bhatt
Dr. Prakashkumar P Bhatt

Neurology

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