What Does A Cystic Lesion As Per The MRI Reports Indicate?

Posted on Tue, 24 Oct 2017

Question: Hi , my father 65 years of age has cyctic lesion 1.5 year back which during attack has resulted tilted face & voice blurring. Post one week of hospitalization & continued medication he was ok .. then again it happened 3 months back & was hospitalized again and became ok .. now 2 weeks back again he got a attack but this time recovery is slow & also his left hand grip has become very weak . I am attaching latest MRI report ( 3days back) and doctor prescription . Can you advise way ahead.. also he is diabetes patient

Answered by Dr. Sudhir Kumar (42 minutes later)

Brief Answer:
Treatment is going on correctly.

Detailed Answer:
Hi,

Thank you for posting your query.

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

I have noted the clinical details and also seen the MRI report of your father. He is suffering from infection in the left side of brain, most probably tapeworm infection (also called neuro cysticercosis). The treatment is going on with correct medicines. The only extra medicine I can suggest is steroid (prednisolone) for a few days, as he has swelling in the brain. You can discuss this with his neurologist.

I sincerely hope my reply has helped you.

I would be pleased to answer, if you have any follow up queries or if you require any further information.

Best wishes,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) XXXXXXX Consultant Neurologist
Apollo Hospitals, XXXXXXX
For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/

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

Follow up: Dr. Sudhir Kumar (27 hours later)

local doctor has not advised steroid and asked to continue medicine for 10 days. His right hand grip has become negligible and also some swelling is there.. Do you think it's right.

Answered by Dr. Sudhir Kumar (20 minutes later)

Brief Answer:
Yes, it is right.

Detailed Answer:
Thank you for gettiNg back with more information.

I agree with the treatment advice of the local doctor.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

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

Follow up: Dr. Sudhir Kumar (11 minutes later)

thanks .... can we assume once swelling decreases with medicine ...his voice and hand will start functioning normally

Answered by Dr. Sudhir Kumar (0 minute later)

Brief Answer:
Yes, they would slowly improve.

Detailed Answer:
Thank you for getting back.

Yes, the swelling would gradually reduce. His vice and hand would also start functioning slowly over time, with the help of physiotherapy and speech therapy.

Best wishes,

Dr Sudhir Kumar MD DM (Neurology)

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