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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What Do MRI Findings After Seizure Of Choroidal Fissure Cysts Mean?

I'm 39 yr old female. Recently had 1st tonic-clonic seizure. I have had migraines for years w/previous "clear" MRI done. MRI Summary of findings after seizure:

"Cluster of small left choroidal fissure cysts which demonstrate slight mass effect with flattening of the superior margin of the hippocampal body. Suggestions of small amount of gliosis of the superiorly adjacent parenchyma."

Once I had the initial seizure I continued to have seizures both "simple & complex partial" ones. Since increasing to 2000mg of Keppra a day no seizure for 1 week now. Had EEG yesterday, no results yet.

Waiting to see a neurosurgeon, but can't get in until end of Jan. & my husband is worried, so any thoughts would be great. Thank you so much-
Mon, 16 Dec 2013
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Neurologist 's  Response
Hi,
Thank you for posting your query.

I have noted your clinical details as well as the MRI brain findings.

I would like to reassure you that there is no need to worry about the MRI findings. These findings explain the reason for your seizures.

At present, you need to continue the anti-epileptic medications, as your seizures are under control.

There is no need of surgery at present, so, it is alright to wait till January end to see a neurosurgeon.

I hope my reply has helped you.

I would be pleased to answer, if you have any follow up queries or if you require any further information.
     
Best wishes,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad,
For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar
My blog: http://bestneurodoctor.blogspot.com/


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What Do MRI Findings After Seizure Of Choroidal Fissure Cysts Mean?

Hi, Thank you for posting your query. I have noted your clinical details as well as the MRI brain findings. I would like to reassure you that there is no need to worry about the MRI findings. These findings explain the reason for your seizures. At present, you need to continue the anti-epileptic medications, as your seizures are under control. There is no need of surgery at present, so, it is alright to wait till January end to see a neurosurgeon. I hope my reply has helped you. I would be pleased to answer, if you have any follow up queries or if you require any further information. Best wishes, Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology) Senior Consultant Neurologist Apollo Hospitals, Hyderabad, For DIRECT QUERY to me: http://bit.ly/Dr-Sudhir-kumar My blog: http://bestneurodoctor.blogspot.com/