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What Does This CT Scan Report Indicate?
Question: Sir! How are you?
I am a resident of XXXXXXX area. My mother has a fit yesterday night, her body was totally stiff and cold. My father taken her to the emergency ward. Doctors their taken a CT scan process. In the report there is old healed calcified granuloma in left parietal region in the brain. is this a reason of fit? is this dangerous for patient?
there few questions arising, can you me knowing the facts about that, doctor leave that by telling nothing serious every thing is fine. also, is there any specific treatment to this problem.
I am a resident of XXXXXXX area. My mother has a fit yesterday night, her body was totally stiff and cold. My father taken her to the emergency ward. Doctors their taken a CT scan process. In the report there is old healed calcified granuloma in left parietal region in the brain. is this a reason of fit? is this dangerous for patient?
there few questions arising, can you me knowing the facts about that, doctor leave that by telling nothing serious every thing is fine. also, is there any specific treatment to this problem.
Brief Answer:
Calcified granuloma is the most likely cause
Detailed Answer:
Hi,
Thank you for posting your query.
I have noted your mother's symptoms and CT scan report.
I agree that calcified granuloma is the cause of fits in her. Calcified granuloma represents an old infection of tapeworm, where the worm has died and got calcified. This is also called as healed neurocysticercosis.
This is not a serious issue and does not lead to any other problems (than fits and headache).
We need to continue giving her anti-epileptic medications to prevent fits in future.
I 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:XXXXXXX
Calcified granuloma is the most likely cause
Detailed Answer:
Hi,
Thank you for posting your query.
I have noted your mother's symptoms and CT scan report.
I agree that calcified granuloma is the cause of fits in her. Calcified granuloma represents an old infection of tapeworm, where the worm has died and got calcified. This is also called as healed neurocysticercosis.
This is not a serious issue and does not lead to any other problems (than fits and headache).
We need to continue giving her anti-epileptic medications to prevent fits in future.
I 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:XXXXXXX
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Sir
Thanks for your valuable response.
It was indeed a pleasure discussing with you, your response has ease my ample of tensions.
Sir I would request you to please prescribed few name of generic & brands of anti-epileptic medicine, which will cause me to decide the medicine easily, and will avoid to take any wrong medicine.
I hope you can understand my concern.
Regards,
Thanks for your valuable response.
It was indeed a pleasure discussing with you, your response has ease my ample of tensions.
Sir I would request you to please prescribed few name of generic & brands of anti-epileptic medicine, which will cause me to decide the medicine easily, and will avoid to take any wrong medicine.
I hope you can understand my concern.
Regards,
Brief Answer:
Below are the suggestions about medications.
Detailed Answer:
Thank you for getting back.
There are three good medications, we can use here, to prevent further fits. These include:
1. Levetiracetam- Levipil and Levera are common brand names.
2. Sodium valproate- Epilex chrono, Encorate chrono and valparin chrono are common brands for this.
3. Oxcarbazepine- Oxetol, Zenoxa and Selzic are common brands.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Below are the suggestions about medications.
Detailed Answer:
Thank you for getting back.
There are three good medications, we can use here, to prevent further fits. These include:
1. Levetiracetam- Levipil and Levera are common brand names.
2. Sodium valproate- Epilex chrono, Encorate chrono and valparin chrono are common brands for this.
3. Oxcarbazepine- Oxetol, Zenoxa and Selzic are common brands.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
Dear Sir,
I am again here with a new report of MRI of my mother, as she has some problem persisting, then doctor ask us to do MRI of her which was done yesterday. No I attached a new report of the same. There are few problem happening with her which i would like to mention here, she has a chronic cough which non curable with various medicines, her left hand is a bit light, she is not able to use her hand to grab any stuff. She has problem in breathing sometimes, restlessness is always a matter. Most importantly she is HIV positive & medicines by ART center is being given by the prescription of the doctors specialized.
I am requesting you to please give your opening/consultation, i am away from my home I mean away from my mother, it became a stressful atmosphere. Please let me know what reports are explaining???
I am again here with a new report of MRI of my mother, as she has some problem persisting, then doctor ask us to do MRI of her which was done yesterday. No I attached a new report of the same. There are few problem happening with her which i would like to mention here, she has a chronic cough which non curable with various medicines, her left hand is a bit light, she is not able to use her hand to grab any stuff. She has problem in breathing sometimes, restlessness is always a matter. Most importantly she is HIV positive & medicines by ART center is being given by the prescription of the doctors specialized.
I am requesting you to please give your opening/consultation, i am away from my home I mean away from my mother, it became a stressful atmosphere. Please let me know what reports are explaining???
Brief Answer:
Seen the MRI reports.
Detailed Answer:
Thank you for getting back.
I have noted the additional symptoms, HIV positive state and MRI brain reports.
In this, there are two findings:
1. Brain atrophy- means shrinkage of brain tissue, which happens as one increases in age, and it can not be reversed or stopped (happens in everyone).
2. Signal change in left brachium pontis- this refers to an abnormality in the left side of brain, which could be related to HIV infection. ART treatment should be continued.
Further follow up and repeat MRI brain after 3-6 months would be able to confirm the diagnosis.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Seen the MRI reports.
Detailed Answer:
Thank you for getting back.
I have noted the additional symptoms, HIV positive state and MRI brain reports.
In this, there are two findings:
1. Brain atrophy- means shrinkage of brain tissue, which happens as one increases in age, and it can not be reversed or stopped (happens in everyone).
2. Signal change in left brachium pontis- this refers to an abnormality in the left side of brain, which could be related to HIV infection. ART treatment should be continued.
Further follow up and repeat MRI brain after 3-6 months would be able to confirm the diagnosis.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
You mean to say we have to wait and watch but continuing the ART medicine? Any medicine for current situation or any precautions to take? Will these situation can cause a big damage? Pls answer few more questions to decrease my level of anxiety. Thanks
Brief Answer:
You need to continue the ART.
Detailed Answer:
Thank you for getting back.
Yes, you are correct. Your mother needs to continue the ART. Repeat scan would be needed to look for progression or improvement of brain lesions (disease).
As of now, it is not a big damage, it is a small problem.
No special precautions are needed.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
You need to continue the ART.
Detailed Answer:
Thank you for getting back.
Yes, you are correct. Your mother needs to continue the ART. Repeat scan would be needed to look for progression or improvement of brain lesions (disease).
As of now, it is not a big damage, it is a small problem.
No special precautions are needed.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
What consequences can be happened in near future if problem may prolong ahead? Do we have to be prepared for any brain surgery? Or any big loss in sense of individual loss. What about a cough which has been non curable? Any relation with current physical situation of patient?
Brief Answer:
Depends on the disease progression.
Detailed Answer:
Hi,
Thank you for getting back.
The future consequences would depend on the extent of disease progression. This may include forgetfulness, difficulty in walking, etc. It is difficult to predict the exact disability, as progression differs in different people.
Surgery is not needed for this condition.
Cough is unrelated and needs to be evaluated by the physician.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Depends on the disease progression.
Detailed Answer:
Hi,
Thank you for getting back.
The future consequences would depend on the extent of disease progression. This may include forgetfulness, difficulty in walking, etc. It is difficult to predict the exact disability, as progression differs in different people.
Surgery is not needed for this condition.
Cough is unrelated and needs to be evaluated by the physician.
Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Above answer was peer-reviewed by :
Dr. Chakravarthy Mazumdar
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