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What Does This MRI Report Indicate?
Question: hi doctor,
my father age 65 was diagnosed with cystic lesion when he complained of slurred speech during may 2015 (mri report enclosed) . now we just got it done again after we observed speech is not correct . recent mri report is also enclosed. he was on lavera 500 mg .
now doctor also has done montoux test where value came 20 .now doctor has changed medicine ( prescription enclosed )
Can you suggest what it is .. is there any improvement. what should we do now ?
my father age 65 was diagnosed with cystic lesion when he complained of slurred speech during may 2015 (mri report enclosed) . now we just got it done again after we observed speech is not correct . recent mri report is also enclosed. he was on lavera 500 mg .
now doctor also has done montoux test where value came 20 .now doctor has changed medicine ( prescription enclosed )
Can you suggest what it is .. is there any improvement. what should we do now ?
Brief Answer:
Provide imaging of Mri
Detailed Answer:
Hello XXXXXXX
I have gone through your question and understand your concerns.
The lesion described and reported in Mri report is neurocysticercosis but the montoux test came to be positive.
The specificity is poor with montoux and can not differentiate the organ having tuberculosis.
You have been started antitubercular treatment by your doctor.
Even neurocysticercosis may not disappear in a year time.
You need to provide images or upload link of Google Drive for evaluating your father's Mri.
Another approach may be to give albendazole under steroid cover and get follow up imaging after 3 months.
Any history of tuberculosis?
Hope you found the answer helpful.
Do get back to me for further queries.
Regards
Dr N Kumar
Neurologist
Provide imaging of Mri
Detailed Answer:
Hello XXXXXXX
I have gone through your question and understand your concerns.
The lesion described and reported in Mri report is neurocysticercosis but the montoux test came to be positive.
The specificity is poor with montoux and can not differentiate the organ having tuberculosis.
You have been started antitubercular treatment by your doctor.
Even neurocysticercosis may not disappear in a year time.
You need to provide images or upload link of Google Drive for evaluating your father's Mri.
Another approach may be to give albendazole under steroid cover and get follow up imaging after 3 months.
Any history of tuberculosis?
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. Prasad
Answered by
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