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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Neurocysticercosis

HI iam suffering from neurocyctecercosis from last 2yrs but before 1month i had head ache and consult to doctor .he admitted 25days in hospital because infection is increased howis it possible i cant understood latest ct sscan-TUBERCULOM ,MRI -TUBERCULOMA AND FINALY CT SCAN -ncc
Mon, 5 Jan 2015
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Neurologist 's  Response
Diagnosis of tuberculoma or neurocysticercosis if often difficult particularly in single ring enhancing lesions. Sometimes CT/MRI may not reach to conclusive diagnosis and then help of additional clues is taken like history of fever , headache, vomiting, previous tuberculosis, tuberculin test , Chest x ray, USG abdomen. For neurocysticercosis fundus examination , subcutaneous nodules and x ray of long bones may be helpful. If nothing helps then albendazole therapy can be given and repeat imaging done to see for any lesion resolution. Occasionally new lesions may appear in NCC but usually at different site. Enlargement of lesion , conglomeration , midline shift, large size , large perilesional edema points to Tuberculoma. I will advice you to consult a neurologist. Hope you get well soon.
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Suggest Treatment For Neurocysticercosis

Diagnosis of tuberculoma or neurocysticercosis if often difficult particularly in single ring enhancing lesions. Sometimes CT/MRI may not reach to conclusive diagnosis and then help of additional clues is taken like history of fever , headache, vomiting, previous tuberculosis, tuberculin test , Chest x ray, USG abdomen. For neurocysticercosis fundus examination , subcutaneous nodules and x ray of long bones may be helpful. If nothing helps then albendazole therapy can be given and repeat imaging done to see for any lesion resolution. Occasionally new lesions may appear in NCC but usually at different site. Enlargement of lesion , conglomeration , midline shift, large size , large perilesional edema points to Tuberculoma. I will advice you to consult a neurologist. Hope you get well soon.