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What Does "conglomerate Ring Enhancing Lesion In The Left Frontal Lobe" Mean?
Question: XXXXXXX XXXXXXX
I had seizures 3 times in three hrs 3month before I am 21 year girl
My CT scan report say granuloma in the left frontal lobe possibility of neurocysticercodis
Associated perifocal edema
My MRI report say neurocysticercosis merits consideration over tuberculomas
My neurologist give me wysolone 20 than 10 and 5 mg for month
Given eption 100 mg for month 3 times day
For month
Give epilive 500 mg twice day for month
Give epilive er 1000mg twice day for month
After three month my CT scan report say
There is resolution of the conglomerate ring enhancing lesion in the left frontal lobe
Since the last CT study A tiny calcific focus
Is seen in its place there is no perifocal edema
My neurologist suggest me take
Epilive er 1000 two tab at night for six month
Than after we go for EEG
Please advice XXXXXXX XXXXXXX
I had seizures 3 times in three hrs 3month before I am 21 year girl
My CT scan report say granuloma in the left frontal lobe possibility of neurocysticercodis
Associated perifocal edema
My MRI report say neurocysticercosis merits consideration over tuberculomas
My neurologist give me wysolone 20 than 10 and 5 mg for month
Given eption 100 mg for month 3 times day
For month
Give epilive 500 mg twice day for month
Give epilive er 1000mg twice day for month
After three month my CT scan report say
There is resolution of the conglomerate ring enhancing lesion in the left frontal lobe
Since the last CT study A tiny calcific focus
Is seen in its place there is no perifocal edema
My neurologist suggest me take
Epilive er 1000 two tab at night for six month
Than after we go for EEG
Please advice XXXXXXX XXXXXXX
Brief Answer:
I need a few details.
Detailed Answer:
Dear XXXXXXX
Welcome to HCM. I am Dr Anshul Varshney. I understand your concern.
With your description there is very high possibility if Neurocysticercosis.
But I need to know following:
1. Have you been given a course of Albandazole?
2. Did you have any seizure after that ?
3. Any fever or weight loss?
4. If possible attach both CT head reports.
Revert with these details for a better help.
Stay Healthy.
I need a few details.
Detailed Answer:
Dear XXXXXXX
Welcome to HCM. I am Dr Anshul Varshney. I understand your concern.
With your description there is very high possibility if Neurocysticercosis.
But I need to know following:
1. Have you been given a course of Albandazole?
2. Did you have any seizure after that ?
3. Any fever or weight loss?
4. If possible attach both CT head reports.
Revert with these details for a better help.
Stay Healthy.
Above answer was peer-reviewed by :
Dr. Vaishalee Punj
I taken zentel 400 for one month with
Wysolone 20mg and eption 100 mg
After one month I taken epilive 500 mg
Twice day than taken epilive 1000 mg
Twice day
No weight loss
Only one time fever in three month
From tomorrow neurologist suggest me
Take epilive er 1000 two tab at night
For six month than go for EEG
I have pain in my head after take two tab at night
Can I take one tab at morning and one at night
Wysolone 20mg and eption 100 mg
After one month I taken epilive 500 mg
Twice day than taken epilive 1000 mg
Twice day
No weight loss
Only one time fever in three month
From tomorrow neurologist suggest me
Take epilive er 1000 two tab at night
For six month than go for EEG
I have pain in my head after take two tab at night
Can I take one tab at morning and one at night
Brief Answer:
Continue with the same.
Detailed Answer:
Dear XXXXXXX
Repeat CT revealed only calcified focus. This means it is not tuberculoma.
It was neurocysticercosis. Good news is that it has now calcified.
The course of treatment now would be anti epileptic drugs for 2 years followed by gradual withdrawal and trial. If you don't get any seizure after the withdrawal you can go ahead without the medications but if you get any seizure after withdrawal of medicines you might have to continue with them for life.
Now about your question of taking Epilive in divided doses. See as such you can take them but only problem why we suggest night time dose only is because people get drowsiness on taking them in day and this may cause you problems in day to day activities
Your headache would disappear in a few days time. XXXXXXX this is my honest opinion for you. If you have any further query feel free to ask.
Stay Healthy.
Continue with the same.
Detailed Answer:
Dear XXXXXXX
Repeat CT revealed only calcified focus. This means it is not tuberculoma.
It was neurocysticercosis. Good news is that it has now calcified.
The course of treatment now would be anti epileptic drugs for 2 years followed by gradual withdrawal and trial. If you don't get any seizure after the withdrawal you can go ahead without the medications but if you get any seizure after withdrawal of medicines you might have to continue with them for life.
Now about your question of taking Epilive in divided doses. See as such you can take them but only problem why we suggest night time dose only is because people get drowsiness on taking them in day and this may cause you problems in day to day activities
Your headache would disappear in a few days time. XXXXXXX this is my honest opinion for you. If you have any further query feel free to ask.
Stay Healthy.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
If I take epilive er 1000 one tab at night
I having headache in morning and I can't
Get up morning
Please help
I having headache in morning and I can't
Get up morning
Please help
Brief Answer:
Detail Follows.
Detailed Answer:
Dear XXXXXXX
See this headache is temporary. It would go with time. But in case it is troubling you lot then you can take the medicine in two divided doses.
However it is an extended release tablet so action is maintained gradually for long.
If you have taken this medicine earlier or is this the first time you are prescribed this?
If for the first time you have been given this you should report your doctor about such headache. So that consideration for a chance can be given.
If you have any further query please ask me.
Stay Healthy.
Detail Follows.
Detailed Answer:
Dear XXXXXXX
See this headache is temporary. It would go with time. But in case it is troubling you lot then you can take the medicine in two divided doses.
However it is an extended release tablet so action is maintained gradually for long.
If you have taken this medicine earlier or is this the first time you are prescribed this?
If for the first time you have been given this you should report your doctor about such headache. So that consideration for a chance can be given.
If you have any further query please ask me.
Stay Healthy.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Epilive ER 1000 big tablet can u suggest
Other small tablet
Other small tablet
Brief Answer:
Detail Follows
Detailed Answer:
Dear Friend,
Unfortunately this tablet comes in big size. But you can try Levipil XR 1000 (Sun Pharma). I prescribe this and none of my patients have complaint of the big size!!
Another alternate is to visit medical store and ask for Extended Release Levetiracetam 1000 mg. You can see if any tablet size suits you.
If you have any further query please ask me. Else you may close the discussion and rate it.
Stay Healthy.
Detail Follows
Detailed Answer:
Dear Friend,
Unfortunately this tablet comes in big size. But you can try Levipil XR 1000 (Sun Pharma). I prescribe this and none of my patients have complaint of the big size!!
Another alternate is to visit medical store and ask for Extended Release Levetiracetam 1000 mg. You can see if any tablet size suits you.
If you have any further query please ask me. Else you may close the discussion and rate it.
Stay Healthy.
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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