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What Is The Treatment Procedure For Cortical Dysplasia?
I had a mri over 3 years ago. It showed left temporal damage not to exclude astrocytoma , ganglioglioma or dnet.
i just got my hands on these results recently and demanded another MRI for UC. The results are the same.
MY head hurts constantly. I was only recently notified even though the first MRI was done over 3 years ago.
My neurologist has me on Phenergan mg hrs, Neurontin 300mg BID, Vicodin 5/500 1 tab q 4 hrs, along with fiorinal
50-325-40 mg. The MRI also reveals cortical dysplasia vs neoplasm. Unfortunately I've worked in the nursing profession on an oncology unit that of course I'm nervous. I've asked for a biopsy and he declined. What should my next course of action be. All my other MD's are now asking questions as well as the insurance co. Please help me make the right decision.
i just got my hands on these results recently and demanded another MRI for UC. The results are the same.
MY head hurts constantly. I was only recently notified even though the first MRI was done over 3 years ago.
My neurologist has me on Phenergan mg hrs, Neurontin 300mg BID, Vicodin 5/500 1 tab q 4 hrs, along with fiorinal
50-325-40 mg. The MRI also reveals cortical dysplasia vs neoplasm. Unfortunately I've worked in the nursing profession on an oncology unit that of course I'm nervous. I've asked for a biopsy and he declined. What should my next course of action be. All my other MD's are now asking questions as well as the insurance co. Please help me make the right decision.
Fri, 14 Feb 2014
Hi,
Thank you for posting your query and informing about the report of MRI brain.
I would like to reassure you first that these MRI abnormalities do not represent any serious brain disease.
Cortical dysplasia is usually a developmental abnormality of brain and is present since birth. In some cases, it can lead to seizures, which get well controlled with anti-epileptic drugs. In a small minority of patients, the seizures do not get controlled wit medications, and a surgery may be required.
In your case, headache is not linked to the cortical dysplasia, and may be due to migraine or tension headache, which can be treated with medications.
I also agree that biopsy is not needed, unless the abnormality is getting worse over time (which is not the case with you).
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad, India
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in
Thank you for posting your query and informing about the report of MRI brain.
I would like to reassure you first that these MRI abnormalities do not represent any serious brain disease.
Cortical dysplasia is usually a developmental abnormality of brain and is present since birth. In some cases, it can lead to seizures, which get well controlled with anti-epileptic drugs. In a small minority of patients, the seizures do not get controlled wit medications, and a surgery may be required.
In your case, headache is not linked to the cortical dysplasia, and may be due to migraine or tension headache, which can be treated with medications.
I also agree that biopsy is not needed, unless the abnormality is getting worse over time (which is not the case with you).
I hope my answer helps. Please get back if you have any follow up queries or if you require any additional information.
Wishing you good health,
Dr Sudhir Kumar MD (Internal Medicine), DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad, India
Click on this link to ask me a DIRECT QUERY: http://bit.ly/Dr-Sudhir-kumar
My BLOG: http://bestneurodoctor.blogspot.in
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