Hi, thanks for asking from HCM. I can understand your concern. It is sad that you have recently met with two accidental head injuries. Repeated concussion has caused Post concussion syndrome in you. This is the reason behind short term memory loss, confusion and intermittent headache. Post concussion syndrome resolves with time. You need to take rest for few weeks and you will observe the response. Avoid repeated head injury. You can also take painkiller tablet diclofenac after proper prescription. Keep yourself hydrated to prevent vertigo. Avoid any kind of mental stress or work which requires deep concentration. This much treatment you can follow without spending much money. If your symptoms still not resolve, you must consult doctor and get NCCT head to rule out chronic subdural hematoma. Chronic subdural hematoma can be managed either conservatively or surgically depending upon mass effect. Another complaint was knot above right eye. You can apply icepacks over it. Keep your head at higher level to reduce swelling. If it persists with no decrease in size, you should consult doctor. Because such presentation is usually of chronic hematoma. It might need surgical evacuation. Hi, thanks for asking from HCM. I can understand your concern. Your uncle is suffering from multiple diseases like DM, pulmonary TB, Thalassemia minor and ependymoma. All these diseases can cause deterioration in patient s general condition. Thus worsen the prognosis of TB and ependymoma. Now coming to your questions, 1 Spine surgery can be deferred for few weeks till 1-2 months. It is because your uncle is having ependymoma at terminal spinal cord. it is usually Myxopapillary ependymoma . This ependymoma is grade I and carries a good prognosis. It is very slow growing tumor. Waiting for few weeks will not going to increase the size of tumor. 2 Both are priorities. Pulmonary TB can be completely treated by anti-tubercular treatment. During TB therapy, patient can undergo surgery of ependymoma. Also you have to wait for decision of neurosurgeon who is going to operate him. If he thinks, patient is not fit for surgery, then wait. 3 CT guided biopsy can be done after surgery. If his sputum was positive for TB, then there is no need of CT guided biopsy. 4 Prognosis of both diseases are good. Pulmonary TB is 100% curable if complete ATT is received. Ependymoma can be completely resected. Myxopapillary ependymoma carries best prognosis among ependymoma. Hope it will help you. If still in doubt, do let me know. Thanks. Take care. Dr Ishu Bishnoi