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Suggest treatment for neurocysticercosis - Online Doctor Chats

Date : 09-Jan-2014
User rating for this question
Very Good Posted in: Brain and Spine
Answered by

General & Family Physician
Practicing since : 2003
Answered : 1232 Questions
User:Hi are you a neurologist ?
Doctor:I am a general physician
Doctor:I can help you within my capacity
Doctor:Please go ahead with your query
User:I had seizure 3 months ago
User:when i went for MRI
User:it said possibility of NCC/tuberculoma
User:I met a neurologist
User:and she started treatment
User:she gave me eption first
User:but my phenytoin range was very low
User:so she started giving me levipil
User:and she adivised me to go for an MRI after 3 months
User:i was seeing partial seizures after a month
User:and i went for an MRI yesterday
User:it hasnt regressed not increased
User:she adde tegritol and frisium
User:i would like to have a 2nd opinin on this
Doctor:The lesion seems calcifie
User:normally how long would it take for an NCC to cure
Doctor:NCC is neurocysticercosis
Doctor:It is a parasitic infection
Doctor:If it is active then albendazole etc can be given to kill it
Doctor:If it is already dead then the mainstay of treatment is antiepileptic medicines
Doctor:Like the ones you are being prescribed
User:they say its a worm egg
User:and the leison around it is calcified is what they said today
Doctor:You can anyways take antiparasitic treatment under the supervision of doctor
User:so you think we are going in a right direction
Doctor:Calcified lesion means dead parasite
Doctor:Since the procedure to take it out will be very cumbersome
Doctor:Mostly person with similar lesions ends up taking antiepileptic medicine
User:ok madam
Doctor:Though so many anti-epileptics will have their own side-effects
User:so how long will it take for it to cure
Doctor:Antiepileptic medicine is for seizure only
Doctor:It has no effect on the lesion itself
User:she has also given some steroids for leison
User:let me check the name once
Doctor:It is prednisone
User:So in my case,what course of action would you reccommand ?
Doctor:Since you are already on steroids
Doctor:I would try a course of albendazole along with steroids
Doctor:I will also titrate the antiepileptic medicines with the risk of seizures
Doctor:since too many medicines can have side-effects
Doctor:Steroids can temporarily control inflammation in the brain
Doctor:But should not be used long term
User:she has given it for a month
Doctor:She is a better guess of your condition
Doctor:Since she can examine you
Doctor:You can always take a second opinion from another neurologist
User:ok doctor.thank you very much.
Doctor:If you want you can use Ask A specialist service
Doctor:Thanks for consulting me
User:ok but can we chat over there ?
Doctor:Do you have any question here?
Doctor:ok XXXXXXX
Doctor:Thanks once again
Doctor:take care
User:Thank you madam.
Doctor:ok then
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