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Should I Be Worried About Small Nodular Calcified Lesion Without Perifocal Edema In Right Temporal Lobe?

Posted on Mon, 16 Dec 2013

Question: A small nodular calcified lesion without perifocal edema is seen in right temporal lobe s/o- healed calcified granuloma

Answered by Dr. Dr. Prasad J (54 minutes later)

Brief Answer: It's an old and healed pathology... Detailed Answer: Hi, A healed and calcified granuloma is not medically significant if you are asymptomatic. Rarely a healed and calcified granuloma is responsible for seizures. If you are asymptomatic, you need not be worried about this healed granuloma. Let me know if you need any more information about this topic. Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Prasad J (2 hours later)

Sir, Yesterday I got an attack of seizure I rush to a physician.he advice me to ct scan .I did and in ct scan report I have mentioned you already. That physian recommend me following medicine 1.solprate cr 300(sodium valprote and valproic acid) 2.dexona (dexamethasone IP,excipients) 3.trioflam (aceclofenac IP ,paracetamo IP ,serratiopeptidase IP ,titanium dioxide IP) 4.lobazam (clobazam IP ,excipients) 5.pentasar-40 Is it OK or not. Please give me your best suggestion . Thanks.

Answered by Dr. Dr. Prasad J (34 minutes later)

Brief Answer: The listed drugs are fine... Detailed Answer: Hi, Seizure is treated with different combination of drugs. There is no hard and fast rule here. The first choice of drugs are phenytoin, phenobarbitone and valproate if a person has generalized seizure. Levetiracetam has also gained popularity in recent times as first choice drugs. Accordingly I see your doctor has started you on valproate as well as clobazam which is good. You can continue with this combination as directed by your physician. I hope you have had a contrast CT scan and EEG (the two set of tests that I ask my patients to undergo after an episode of seizure). Discuss with your treating doctor. Finally, there are few more recommendations that I give my patients: 1. Avoid fasting and avoid sleepless night. 2. Never skip those two anticonvulsant drugs. If you have any problem talk to your doctor before stopping it. 3. Avoid going to heights 4. Avoid driving and swimming. Dexona, trioflam and pentasar would be gradually stopped over a period of time. Therefore follow up with your doctor. Hope this helps. Let me know if you need any more information. Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar

Follow up: Dr. Dr. Prasad J (36 minutes later)

Sir, Can u tell me what are the reasons behind this kind of attack......

Answered by Dr. Dr. Prasad J (1 hour later)

Brief Answer: Unpredictable cause.... Detailed Answer: Hi, Seizure occurs due to causes unknown. Since the CT scan revealed a calcified granuloma, I believe that is the cause. An EEG might reveal seizure activity from this part of the brain (right temporal region) and if it does show seizure activity, then it is most likely the cause. Therefore this test becomes an important investigative tool in this context. Discuss with your treating physician if they are aware of any other condition that causes your seizure. Hope this helps. Regards

Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar