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What Does This MRI Report Indicate?
Question: Hello doctor, in January 2014, my brother 27 got fit attack, while watching a thriller XXXXXXX movie, he got injured followed by vomit.. We admit him to hospital where he was diagnosed with in MRI with calcified granulomatous lesions noted on anterior part of left temporal lobe and left basi frontal region. Doctor prescribed keppra 500 mg for 3 years.. Which my brother is continuing, but again yesterday after 2.5 years of medication he suffered d same attack while watching a movie.. Now the same doctor has continued d above medicine for life time, plz suggest permanent treatment for such fits.. Without any life time medication.. Grt help.. Plzl
Brief Answer:
Continue medication and get investigated as advised
Detailed Answer:
Hello XXXXXXX
I have gone through your question and understand your concerns.
Treatment of localization related epilepsy may have to increase if seizures are not well controlled.
Usually such lesions require treatment for three years and then gradual tapering of drug can be done.
If there is recurrence, new Mri is required along with eeg.
In fully calcified old lesions without any edema, treatment can be extended and tapering can again be tried after 1-2 years.
Life long treatment is required only in unresponsive cases.
Along with medication, proper sleep, avoiding night awakening, avoiding smoking and alcohol will be helpful. Strict drug compliance is necessary.
Surgical options are also available but doesn't seem to be required in your case.
For now get repeat Mri and eeg and continue medication for now.
Follow up with reports.
Hope you found the answer helpful.
Do get back to me for further queries.
Regards
Dr N Kumar
Neurologist
Continue medication and get investigated as advised
Detailed Answer:
Hello XXXXXXX
I have gone through your question and understand your concerns.
Treatment of localization related epilepsy may have to increase if seizures are not well controlled.
Usually such lesions require treatment for three years and then gradual tapering of drug can be done.
If there is recurrence, new Mri is required along with eeg.
In fully calcified old lesions without any edema, treatment can be extended and tapering can again be tried after 1-2 years.
Life long treatment is required only in unresponsive cases.
Along with medication, proper sleep, avoiding night awakening, avoiding smoking and alcohol will be helpful. Strict drug compliance is necessary.
Surgical options are also available but doesn't seem to be required in your case.
For now get repeat Mri and eeg and continue medication for now.
Follow up with reports.
Hope you found the answer helpful.
Do get back to me for further queries.
Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by :
Dr. Yogesh D
Sir.. Should he continue his job ( works for a Bpo) and daily routine till the treatment, and should he consult a neurologist for this, as previously he was consulting a general physician? Can this problem be permanently solved?
Brief Answer:
Continue medication, visit a neurologist
Detailed Answer:
Hello,
Job can be continued but avoid driving vehicles, sitting on open roof top, swimming, fire places.
Always have a epilepsy identity card.
Consultation with a neurologist will be better as proper advice will be communicated.
High chances of recover is there.
Wishing for good health.
Regards
Dr N Kumar
Neurologist
Continue medication, visit a neurologist
Detailed Answer:
Hello,
Job can be continued but avoid driving vehicles, sitting on open roof top, swimming, fire places.
Always have a epilepsy identity card.
Consultation with a neurologist will be better as proper advice will be communicated.
High chances of recover is there.
Wishing for good health.
Regards
Dr N Kumar
Neurologist
Above answer was peer-reviewed by :
Dr. Prasad
Answered by
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