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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How To Overcome The Problem Of Headache That Happens Almost Once Every Week?

my son,age 11 have a problem of headache,which happens almost once every week.neurolgist suggested mri,which revealed 'focal hypointense with surrounding edema in left cerebellar hemisphere likely inflammatory granuloma'.dr.then suggested contrast mri,which show inflammatory granuloma in the left lobe of chypointense erebellar,hypointense possibility of tuberculoma is likely in view of hypointense signal intensity on T2W images .result of ESR/ MONTOUX TEST/ XRAY CHEST are still awaited.what is the diagnosis , treatment,precautions and effect.
Mon, 22 Aug 2016
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Neurologist, Surgical,  's  Response
Hi. this headache is due to raised ICP caused by mass effect due to cerebellar space occupying lesion. Most lilely it is tuberculoma will be confirmed by montoux test ,ESR and x ray chest report . Tuberculoma is managed conservatively if small in size and supra tentorial .
In your case , treatment is ATT , steroids and antiedema measures. Surgery is done when repeated headache with vomiting with bradycardia and size is sufficient enough to cause fourth ventricle compression and hydrocephalous .
Precautions are you have to take AKT FOR 1 YEAR and serial follow up with neurosurgeon.
Prognosis is good and there are no long term effects .
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How To Overcome The Problem Of Headache That Happens Almost Once Every Week?

Hi. this headache is due to raised ICP caused by mass effect due to cerebellar space occupying lesion. Most lilely it is tuberculoma will be confirmed by montoux test ,ESR and x ray chest report . Tuberculoma is managed conservatively if small in size and supra tentorial . In your case , treatment is ATT , steroids and antiedema measures. Surgery is done when repeated headache with vomiting with bradycardia and size is sufficient enough to cause fourth ventricle compression and hydrocephalous . Precautions are you have to take AKT FOR 1 YEAR and serial follow up with neurosurgeon. Prognosis is good and there are no long term effects .