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What Causes Inflammation On The Right Side Of Head After An Injury?
Question: Hi Doctor, My wife had a head injury last month. No suferficial injury or fracture, but she feels inflammation on the right side. yesterday we took a CT Scan....Report says that there is a Chronic calcified granuloma in right Posterior parasagittal lobe. What should we do now....
Brief Answer:
No treatment required at present
Detailed Answer:
Hello XXXX,
I have gone through your question and understand your concerns.
Firstly head injury is not serious and no abnormalities on investigation.
Now the second issue is chronic calcified granuloma on CT imaging. This type of lesions are mostly due to neurocysticercosis in developing countries and second common cause may be tuberculoma.
The character of lesion is healed without any perifocal edema. Also you don't have any previous history of seizure.
You don't require any treatment or investigation at present. In very few patients such lesion has a low risk of seizure in future.
According to current guidelines no treatment is required at present.
You may decrease the risk of seizure by avoiding night awakening, sleep deprivation, alcohol intake and refraining from dangerous places like swimming pool,roof top.
Hope you found the answer helpful. Do get back to me for further queries.
Regards
Dr Neeraj Kumar
Neurologist
No treatment required at present
Detailed Answer:
Hello XXXX,
I have gone through your question and understand your concerns.
Firstly head injury is not serious and no abnormalities on investigation.
Now the second issue is chronic calcified granuloma on CT imaging. This type of lesions are mostly due to neurocysticercosis in developing countries and second common cause may be tuberculoma.
The character of lesion is healed without any perifocal edema. Also you don't have any previous history of seizure.
You don't require any treatment or investigation at present. In very few patients such lesion has a low risk of seizure in future.
According to current guidelines no treatment is required at present.
You may decrease the risk of seizure by avoiding night awakening, sleep deprivation, alcohol intake and refraining from dangerous places like swimming pool,roof top.
Hope you found the answer helpful. Do get back to me for further queries.
Regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by :
Dr. Shanthi.E
1. Calcified lesion (4mm) with no obvious surrounding oedema/gliosis seen in right parasagittal posterior parietal lobe -likely chronic calcified Granuloma.
2. Deviated nasal septum to right side with septal spur compressing the right middle and inferior turbinates.
Bilateral hypertrophied inferior nasal turbinates.
Brief Answer:
Nothing to worry, no treatment required
Detailed Answer:
Hello XXXX,
This report doesn't need any treatment and the lesion has been detected incidentally.
Rest findings of deviated nasal septum and hypertrophied turbinates are related to recurrent rhinitis and nasal blockade.
Hope you found the answer helpful.
Do get back to me for further queries.
Regards
Dr Neeraj Kumar
Neurologist
Nothing to worry, no treatment required
Detailed Answer:
Hello XXXX,
This report doesn't need any treatment and the lesion has been detected incidentally.
Rest findings of deviated nasal septum and hypertrophied turbinates are related to recurrent rhinitis and nasal blockade.
Hope you found the answer helpful.
Do get back to me for further queries.
Regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
She was hit by the closing door on the backside of the head...
Present symptoms: -
1. Pain on right posterior part of head
2. Inflammation
3. Hearing loss and perforated right ear drum.
4. Ringing sound in both ears.
5. Severe headaches
6. Some focal deficit -there is difference between right and left eye
Present symptoms: -
1. Pain on right posterior part of head
2. Inflammation
3. Hearing loss and perforated right ear drum.
4. Ringing sound in both ears.
5. Severe headaches
6. Some focal deficit -there is difference between right and left eye
Brief Answer:
May be associated primary headache
Detailed Answer:
Hello XXXX,
Post head injury pain may persist for some months in few patients. Is the hearing loss, ringing sound in ear or bleeding through ear occurred after head injury.
What is the vision on both side of eyes ( Ophthalmological evaluation)
Sometimes migraine or tension type headache occurs after head injury.
As the CT head is not showing any fracture or internal bleeding you can try some medications like amitriptyline , Flunarizine and some pain releiver for some time.
You can provide more detail for further clarifications.
Hope you found the answer helpful.
Do get back for further queries.
Regards
Dr Neeraj Kumar
Neurologist
May be associated primary headache
Detailed Answer:
Hello XXXX,
Post head injury pain may persist for some months in few patients. Is the hearing loss, ringing sound in ear or bleeding through ear occurred after head injury.
What is the vision on both side of eyes ( Ophthalmological evaluation)
Sometimes migraine or tension type headache occurs after head injury.
As the CT head is not showing any fracture or internal bleeding you can try some medications like amitriptyline , Flunarizine and some pain releiver for some time.
You can provide more detail for further clarifications.
Hope you found the answer helpful.
Do get back for further queries.
Regards
Dr Neeraj Kumar
Neurologist
Above answer was peer-reviewed by :
Dr. Neel Kudchadkar
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