Colloid Cysts, Physical and Personal Impacts on Patient and Spouse
Introduction:
The patient is a 45 year old male who was in a car accident that
involved alcohol on July 29, 2004. I have known the patient
for three years and will be referring to aspects of the patient
that I know to be true, but am unable to cite all details due
to learning them via the dynamics of the relationship. The
patient and the patients’ spouse have requested complete
anonymity for the purpose of this paper. The car accident
resulted in a series of injuries for the patient which were a
fractured pelvis, a lacerated bladder, internal organ bruising,
a moderate concussion, and sciatic nerve palsy (nerve damage).
The moderate concussion was determined by a computerized axial
tomography (CAT) scan which also showed the colloid cyst. The
patient believes he was made aware of the cyst; however his
memories are not absolute and the spouse was not made aware at
the same time. The cyst was mentioned (again) at the end of
September and the brain surgery happened on February 13, 2005,
six and a half months later. This series of interviews has
occurred during the two months after the surgery. (Patient,
Patient Spouse, personal communication, April, 27, 2005)
Symptoms:
The patient was suffering from intense dizzy spells for a year
prior to the car accident. The patient is a licensed
chiropractor and as he put it, “Doctors make the worst
patients”, so he rationalized the dizziness and never expressed
a need or desire to medically investigate it. The patient had
not been experiencing the most common symptom, a headache.
(Patient, Patient Spouse, personal communication, April 28,
2005) In the literature about colloid cysts there is a high
prevalence of symptomatic headaches in the patients, often it is
the headaches the patients are trying to resolve when the
colloid cyst is discovered. (www.healthcentral.com/encyclopedia)
The car accident fractured the patient’s pelvis so the treating
physicians rebuilt his pelvis and began physical therapy before
they scheduled the colloid cyst surgery. It was at this time
the patients spouse learned about the cyst; it had been two
months since its discovery. After becoming aware of the cyst,
the patient presented with mild headaches. (Patient Spouse,
personal communication, April 28, 2005)
Surgery:
The surgery occurred six and a half months after the CAT scan.
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