Had surgery for acoustic neuroma, having secondary effects?

My girlfriend (30 years old) recently had surgery due for acoustic neuroma. She had about a 2.5cm mass removed from the left side of her head. They operated on her for about ten hours and went behind her left ear.

That was twelve days ago, she was discharged from the hospital after one week. Two days ago she came home from her parents place where she stayed for a few days because it was close to the hospital. The ride home took a little over two hours which irritated her head a bit.

The other day she began complaining of a lot of pressure in her head, and the left side of her head is visibly swollen. She has also started to ween off of the medications that she was given. Initially she was on Ranitide 150mg X 10 days, Dexamethasonel 4mg 12 hr for 2 days, 3mg 12 hr for 2 days, 2mg 12 hr for 2 days, 2mg daily 2 days, 1mg daily for 2 days, and tramcel.

I am concerned that the pressure post-op may be an issue to her brain or pose other risks to her health. The situation is aggrivated by a possible 2 hour drive to Edmonton’s University of Alberta Hospital where she could be seen, which could cause further problems to the area.

Please advise on what the problem could be and if medical attention is required and on what basis of urgency.


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Dr. Ayman Darrag
Member
Dr. Ayman Darrag

After acoustic neuroma surgery it is expected to have headache..Increased headache with nausea or vomiting, along with increased swelling at the incision site. Leaking cerebrospinal fluid may accumulate under the skin incision.
A dressing can be used to press the swelling side to avoid CSF leakage …if it persisted or got worse another surgical interference may be necessary..
Make sure the wound is not the cause of swelling by being infected.
Thanks

Dr Ahmed Fawzy
Member
Dr Ahmed Fawzy

In my opinion she should see her doctor for possible spinal fluid leak or bleeding
Since the headache started only 2 days ago i think you should take it very serious

Good Luck

Dr Mahaveer
Member
Dr Mahaveer

hi
this a common side effect of this surgery.
you may need a repeat examination and an mri to find out the exact cause.
re-surgery is usually not needed.
thanks

shw12
Member
shw12

HI
YOU ARE RIGHT.
THIS MAY WELL CAUSE PRESSURE SYMPTOMS ON SURROUNDING STRUCTURES.
CONSULT THE ENT SPECIALIST AND TAKE A SECOND OPINION.
THIS COLLECTION MAY NEED DRAINAGE SURGICALLY.

mrsshalini14
Member
mrsshalini14

hello there
the surgery seems to be done properly but such complications are usually expected in these kind of complicated surgeries.
get otoscopy done and a detailed examination by a ENT specialist.
the collection needs to be removed to avoid pressure symptoms.

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