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I'm Concerned I Have A Brain Abscess Secondary To An

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Posted on Fri, 29 May 2020
Question: I'm concerned I have a brain abscess secondary to an untreated tooth infection. I had a toothache in tooth #4 about 3 weeks ago that went away with ibuprofen. I've been diagnosed with benign paroxysmal positional vertigo, but something still feels off. My symptoms are dizziness for the last 9 days that is worsened by movement, neck stiffness for the last week, nystagmus, reduced appetite, eye straining, mild nausea, and mild headache at the back/base of my skull. I want to push for an MRI but I have such intense anxiety surrounding this situation that I can barely sleep. Help?
doctor
Answered by Dr. Sudhir Kumar (38 minutes later)
Brief Answer:
The chances of you having a brain abscess are very low.

Detailed Answer:
Thank you for posting your query.

I am Dr Sudhir Kumar, Neurologist, and I would try my best to help you.

I have noted your clinical details. Based on this, the chances of you having a brain abscess are very low.

People with brain abscess are much more toxic- they are febrile, have severe headache, they vomit and in most cases have focal neurological deficits such as weakness or arm or leg.

Without these symptoms, brain abscess is unlikely. However, since you are undergoing an MRI brain, that would sort it out completely.

For anxiety, you could take clonazepam tablets.

I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.

Wishing you good health,

Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX XXXXXXX
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Sudhir Kumar (31 hours later)
I’m not scheduled for an MRI, but I do have a dentist appointment tomorrow to see what we can do about my tooth. My symptoms haven’t improved much and I’m still worried about a brain abscess. I have a moderate headache that isn’t helped with pain relievers. Is it possible to have one without a fever or neurological symptoms?
doctor
Answered by Dr. Sudhir Kumar (2 hours later)
Brief Answer:
Brain abscess is unlikely without fever and neurological symptoms.

Detailed Answer:
Thank you for getting back.

Dental appointment could help in assessing the severity of dental infection, if any, and any remedial measures.

Brain abscess is unlikely in the absence of fever and neurological symptoms. So, as of now, there is no need to worry abut that.

Have you tried NAPROXEN tablets for headache? It is quite effective.

Best wishes,

Dr Sudhir Kumar MD DM
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Sudhir Kumar

Neurologist

Practicing since :1994

Answered : 6231 Questions

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I'm Concerned I Have A Brain Abscess Secondary To An

Brief Answer: The chances of you having a brain abscess are very low. Detailed Answer: Thank you for posting your query. I am Dr Sudhir Kumar, Neurologist, and I would try my best to help you. I have noted your clinical details. Based on this, the chances of you having a brain abscess are very low. People with brain abscess are much more toxic- they are febrile, have severe headache, they vomit and in most cases have focal neurological deficits such as weakness or arm or leg. Without these symptoms, brain abscess is unlikely. However, since you are undergoing an MRI brain, that would sort it out completely. For anxiety, you could take clonazepam tablets. I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information. Wishing you good health, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist Apollo Hospitals, XXXXXXX XXXXXXX Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar My BLOG: http://bestneurodoctor.blogspot.in