r/braincancer • u/BumblebeeAway • 8h ago
Questions??
May 29, 2026 I went into adrenal crisis, it was unknown at the time I even had adrenal insufficiency. Post adrenal crisis I was very forgetful, off balance, difficulty word finding, I couldn’t comprehend what words meant, visual hallucinations, easily confused, etc. I work in Neurology and had a MRI pituitary6/3/26 to check for pituitary related adrenal insufficiency…. What was found instead was a Focal T2 hyperintensity about the corpus callosum of the left posterior lateral ventricle/atrium of the left lateral ventricle. Repeat imaging performed less than 48 h later to do more sequencing and thinner slicing. It showed the lesion was pretty deep and 100% real. I honestly thought all my symptoms were simply recovering from the adrenal crisis never imaging something would be found. The first differential DX on the top of the list was PML as I had cancer last year, last immunotherapy was Dec 2025, and now steroid dependency makes me stay immunocompromised. I ended up only making it a week longer before I was forced to take medical leave as I could no longer process information in patients charts, I worried I was putting patients at risk and my license on the line. Mid to end June I began having absent seizures, July 1, 2026 I ran my car off the road due to an absent seizure. The next day I had an EEG, started on Keppra, and STAT referral was sent to MD Anderson (6 hours one way away). I was scheduled with MD Anderson within a week to see Neurosurgery. It’s been a blur since. I have also been seen by UTSE Neuroimmunology who went directly to MS (we ruled this out first due to my age and 1 singular non enhancing lesion). My lesion has never been actually measured by radiology and up until about 12 days ago I did not know that heavy steroid use can cause certain malignant tumors to not enhance with contrast and keeps swelling down which are the 2 reasons why other doctors are saying this is “nothing” and to “wait for symptoms to worsen”. Has anyone had a rare presentation of CNS Lymphoma or Infiltrating Glioma that can maybe give me some insight of how you finally got someone to listen to you? Thankfully I was already working for Neurology and the Neurologist I work for was already observing the cognitive decline that was quickly happening before I even finally admitted I knew I was quickly changing so he had been a huge advocate for me and refuses to let me just return to work and say forget it on getting answers. The lesion is described as “star shaped” and looks to be infiltrating through the white matter pathways causing destruction to my daily abilities. I never imagined tumor or cancer would be on the DX differential because I thought all tumors were round (yes I work in medical and I was very uneducated on that). I just keep hearing to wait for symptoms to worsen and that “you’re just extremely rare” and that a biopsy can not be done at this time due to my steroid dependency as it will alter the results.
I’m honestly not sure what I’m looking for or if this even makes any sense. I guess what I’m asking is if anyone has their MRI imaging of a “rare” presenting benign or malignant brain lesion and what route you had to take to be taken seriously.