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Newly diagnosed & scared (Read 11064 times)
JSKL
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Newly diagnosed & scared
Apr 1st, 2011 at 9:04am
 
31 year-old otherwise healthy caucasian female... I have an almost 5year-old girl and a 2 1/2 yr-old boy.

Had some vague symptoms on&off since immediately following birth of my first child... After continuing to push to find a "cause", i was diagnosed yesterday with MoyaMoya.
Picked up on an MRA & followed up with angiogram.

SOooo relieved to find this site as my neurologist does not have much information.

I was told that my angiogram does not warrant surgery.

What's next??? I am too young to be worrying about when a stroke will come.... Due to my unexplained symptoms, I believe I have developed some type of anxiety/panic attacks that are unbearable.... I have to begun to question every strange sensation & wonder if "this is it"....

I feel so much for all of you who are dealing with this on behalf of your children... While I am blessed that it is me, and not one of my children, I am having trouble coping...

I have questions that I would very much look for opinions:

- where to look for a second opinion (show/send my images); I would LOVE if someone would be willing to actually show me my images (is that too much to ask?)

- should I be pushing surgery?

- genetic testing for my children?

- what lifestyle changes should I be making now?? I have been advised to take one baby aspirin a day; nothing else...
Are there diet considerations? Limits on exerting myself physically?

Any advice is much appreciated...


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mg12061
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Re: Newly diagnosed & scared
Reply #1 - Apr 1st, 2011 at 9:22am
 
Welcome to the MM family, sorry you need it but it's a great site to get information and support. My daghter was diagnosed with MM at 5 yrs old so our experience is a bit different but I think everyone here would agree that the best thing you can do for yourself is to consult with a MM specialist. There is a lot of information on this site in regards to the specialists. Dr. Steinburgh in California is top on the list for adults. You can have your scans sent to his office. My daughter's surgeon was Dr. Scott in Boston and our neurologist here had no problem sending her scans to Boston and then referring us there for surgery. You need and you deserve a surgeon who treats patients with MM on a regular basis. You are absolutely right no one of any age should just sit back and worry about when  stroke may occure without consulting an expert. Reccomendations that were given to my daughter were to stay well hydrated, not to hyperventilate, and a baby asprin daily. You would not want to take anything that has side affects of stroke or vascular constriction (birth control is one that comes to mind).  As for your children... There are different opinions on this I believe but I believe most of us have been told not to worry about it being genetic unless you see signs of a problem. On the other hand there have been multiple family members so I would not hesitate to take action if you saw a problem. Remember that no question is too small ask away and there's usually someone here who can answer it. Please keep us posted. Many prayers for you and your family.
Mary Grace
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lynn
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Re: Newly diagnosed & scared
Reply #2 - Apr 1st, 2011 at 10:15am
 
My sixteen-year-old son has moyamoya.  Our local neurosurgeon wasn't concerned about surgery either.   That went against everything that I have read so I got copies of all of the scans and everything and sent them to Stanford for Dr. Steinberg to review.  The doctors here didn't want to send them for some reason.  They have been nothing but hard to deal with.

We are now headed out to California to have his surgeries done later this month.  I would not take the word of a neurosurgeon who hasn't had many moyamoya patients.
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JSKL
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Re: Newly diagnosed & scared
Reply #3 - Apr 2nd, 2011 at 6:57pm
 
Thank you for both of your comments...

Just started experiencing a buzzing noise in my head/ears that is accompanied by a dull headache....
Going on two full days...

So hard to figure out what is "important enough" to visit the doctor right away and what might just be caused by anxiety....
Trying so hard to remain calm until I hear back from dr. Steinberg's office....
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bt313131
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Re: Newly diagnosed & scared
Reply #4 - Apr 3rd, 2011 at 4:33am
 
we ran to the er with anything that was a new thing or a new combo or painfull and the drs told us that we were right to do so i say when in dout go this is your life ur talking about
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mg12061
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Re: Newly diagnosed & scared
Reply #5 - Apr 3rd, 2011 at 10:13am
 
How are you doing??  I just read your new symptoms. With this disease there are so many unkown issues and everyone is so different I would never hesitate to put a call in to your dr. or visit the ER if it's really bothersome.
Mary Grace
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JSKL
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Re: Newly diagnosed & scared
Reply #6 - Apr 4th, 2011 at 7:53am
 
Can't thank you enough for the feedback (and so quickly!)...
Have an appt with a "stroke specialist" this Friday, since after just being diagnosed with MM, my Neurologist thought it would be the next step.
I'm calling this morning to see if I can get in today to get checked out, although I'm not sure what they could do?? The ringing/dull headache has been present since first thing this past Friday morning (so, three full days; today will be number four)....
I've read "tinnitus" can be caused due to stress (hello!), aspirin (although I doubt one baby aspirin/day would explain it), or something more serious (carotoid artery?)....

Also calling Dr. Solomon today in NYC to request an appt (closest MM specialist to me) and mailing my records to Stanford (dr. Steinberg) for another opinion...

Is it naive to be holding out hope that my situation might be the first to not warrant surgery??!! I really do NOT think I am strong enough to go through that experience... Although, waiting every day to have a stroke or worse has been numbing to say the least....
Returning to work today and terrified about having panic attacks at every sensation....

Knowing there are people here to speak to has been my saving grace.... Again, I cannot imagine going through this on behalf of one of my children (you all must be incredibly strong!!!)

Thank you again-
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hillary
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Re: Newly diagnosed & scared
Reply #7 - Apr 5th, 2011 at 12:00am
 
Believe in yourself, you are strong, you have come this far and you have an awesome support group here on MoyaMoya.  I think your doing all the right things.  Hang in there and we'll be thinking of you.

Hillary
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JSKL
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Re: Newly diagnosed & scared
Reply #8 - Apr 26th, 2011 at 8:44pm
 
Spoke to Theresa at stanford last week; dr. Steinberg suggests surgery, although my periotal (sp??) branch that's typically used is too small.  He would use a frontal branch for a direct bypass.  I think she mentioned he would do an indirect at the same time...

Any experience with this type of surgery?

Also have questions on the progressive nature of the disease... I believe only my right side is affected at this time.  After surgery, will there be a decreased risk of any other areas being affected?

Another specialist closer to me has suggested I have more testing done (mr profusion, trans cranial doppler, neuro psych testing) and just be monitored every six months... Talk about being confused!!!

Many thanks for all the continued support!  I feel I will need much more if/when I convince myself I'm strong enough to go through with the surgery...


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nv3
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Re: Newly diagnosed & scared
Reply #9 - Apr 26th, 2011 at 10:49pm
 
Hello- I just want to give you support. i know how you're feeling. Me too, just diagnosed but asked for more time. i do have to say, Dr. Steinberg's team are very professional and the entire staff. The hospital has been rated the best in the world as to treating MoyaMoya.
I've completed the tests to be sure, since I was first diagnosed with vasculitis, and i wanted a second opinion.
You will be find with this group of doctors at Stanford. Good luck.
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JSKL
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Re: Newly diagnosed & scared
Reply #10 - Apr 26th, 2011 at 10:59pm
 
Thank you so much... I too was first told vasculitis, but after my angiogram (thought for sure it was the worst hell I'd go through), MoyaMoya was found...
It does help to know just how many are struggling with this...

All the best to you... While I'm in no place to give advice at this time, I can sure listen and empathize if you ever need to vent...
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nv3
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Re: Newly diagnosed & scared
Reply #11 - Apr 27th, 2011 at 2:43am
 
You hang in there. I know having to do all the tests, is very stressful, which I found out. But I know that it's better to do the tests to make sure that it is what the doctors diagnosed it.

It's ok to be scared because you really don't know what it is. It's good to educate yourself with Moya Moya. it actually prepares you. Dr Steinberg has the website that tells you everything about it.

Once you have educated yourself, get your support from family and friends. You become a strong person.

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nv3
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Re: Newly diagnosed & scared
Reply #12 - Apr 27th, 2011 at 2:47am
 
BTW, the ringing in your ears is due to lack of blood and oxygen to the brain. I know that because I became anemic, had blood transfusion and that's what they told me. You can get this because your menstrating. If so, get your blood level check. Because you can be low and you may have a stroke.

Just write everything down that you are experiencing. Good Luck!! keep us posted..
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nv3
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Re: Newly diagnosed & scared
Reply #13 - Apr 27th, 2011 at 2:47am
 
BTW, the ringing in your ears is due to lack of blood and oxygen to the brain. I know that because I became anemic, had blood transfusion and that's what they told me. You can get this because your menstrating. If so, get your blood level check. Because you can be low and you may have a stroke.

Just write everything down that you are experiencing. Good Luck!! keep us posted..
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JSKL
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Re: Newly diagnosed & scared
Reply #14 - Apr 27th, 2011 at 7:42am
 
What test measures blood level? Not sure what to ask for...
Thanks much
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saboliz
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Re: Newly diagnosed & scared
Reply #15 - May 1st, 2011 at 3:25pm
 
JSKL,

I had a CT Angiography of my head to measure the blood flow. I also had CT scans with and without dye.

In regards to physical activity. What do you do now? I was a walker training for a half marathon. I didn't feel symptoms unless I got dehydrated and went farther than four miles. Drink plenty of water. Walk with common sense. I was able to walk four miles at a slower pace.

There are several research studies on genetics. I have been advise to notify our physician and let them know for my son and daughters records. If they begin to have any symptoms then we should check. From what I have read only 15% of families have seen moyamoya in the family.

I would not wait for a stroke. It sounds like you are doing what you should be doing by checking into other Doctors.

Hang in there you, keep asking questions. If you need anything else let us know.

Liz
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