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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Child Suffering From Epilepsy. Had Mild Cerebral Atrophy Changes, Mega Cisterna Magna Seen. Treatment?

hi, my son is 4yrs, intiatally he was effected with epilepsy 5month back, after 15days his eye site was effected. can not speak properly. he speak single words only no clarity in voice and he is hyperactive. In MRI scan they said he had mild cereberal atrophy changes and mega cisterna magna seen. what it exactly mean what about my son future. suggest me what type treatment i have talk to my son. any precription if.
Wed, 16 Jan 2013
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Neurologist 's  Response
Hello,
The cerebral atrophy may indicate that either his brain has not formed as much as it should have formed or that there was a damage to the brain during early childhood. The mega cisterna magna also indicates the same and does not have an additional significance. The brain is not functioning adequately and so his speech is affected. For epilepsy he needs to be on regular medication. For hyperactivity also there are medications available. However for speech there is no medication which can help. he has to be trained by speech pathologists and child psychologists for future development.
Good luck.
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Neurologist, Surgical Dr. Visvanathan K's  Response
Dear Mr Gouda,

Mega cisterna magnoa basically means that there is a larger than normal fluid cavity in the back of the brain. This does not specifically require any treatment. Cerebral atrophy means that there is a shrinkage of the brain volume for some reason.

As far as the symptoms you report, these will need to be assessed by a neurologist who deals with epilepsies (Epileptologist) and probably undergo other tests depending on what the clinical findings are. With this you should get a better control of the epilepsy.

Hope this helps.
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Child Suffering From Epilepsy. Had Mild Cerebral Atrophy Changes, Mega Cisterna Magna Seen. Treatment?

Hello, The cerebral atrophy may indicate that either his brain has not formed as much as it should have formed or that there was a damage to the brain during early childhood. The mega cisterna magna also indicates the same and does not have an additional significance. The brain is not functioning adequately and so his speech is affected. For epilepsy he needs to be on regular medication. For hyperactivity also there are medications available. However for speech there is no medication which can help. he has to be trained by speech pathologists and child psychologists for future development. Good luck.