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Suggest Best Treatment For Neurocysticercosis And Inflammatory Granuloma In Left High Parietal Lobe?
Question: Respected Doctor,
My, name is XXXXXXX XXXXXXX yesterday I got seizure and was admitted in hospital, where i got ct scan and eeg done, eeg was normal, but in ct scan it was reported that there was neurocysticercosis, a small inflammatory granuloma in left high parietal lobe, small ring enhancing lesion with mild perilesional edema is seen in left high parietal lobe, due to which I had a seizure a day before, I, am 15 year of age and i am also over weight i.e. 80 kg, I request you to recommend me a best treatment in this regard.
Thanking you
Brief Answer:
LEFT PARIETAL INFECTIVE GRANULOMA
Detailed Answer:
DEAR MS XXXXXXX JI
HELLO
MY BEST WISHES FOR A SPEEDY & COMPLETE RECOVERY
I have gone through your detailed medical history & CT SCANS
Seizure in a young child with left parietal infective granuloma & normal EEG
is not an uncommon thing now a days .
May i suggest you to
1. Continue taking ANTICONVULSANTS / ANTIOEDEMA MEASURES / STEROIDS & ANALGESICS under neurological supervision .
2.ANTICONVULSANTS will continue for longer periods , (may be for about 2-3 years )
3.Get your MRI BRAIN with contrast to reconfirm if it is NEUROCYSTICERCUS
4 If Neurocysticercosis is not confirmed on MRI BRAIN . Get your FASTING ESR/ MONTOUX TEST/ XRAY CHEST ETC to rule out any tubercular lesion .
5.If it is still not confirmed get your ELISA FOR NEUROCYSTICERCOSIS/ TB GOLD TEST
6. If neurocysticercosis is confirmed you,ll be given ALBENDAZOLE THERAPY for about 3 weeks
7 Repeat MRI BRAIN will be done after 6 weeks of therapy .
8 Avoid eating unhygenic foods especially CHINESE FOODS / CABBAGE / SALADS etc ( as unhygenic foods may contain tape worm eggs which cause neurocysticercosis .
HOPE THIS ANSWERS YOUR QUERRIES
THANX
DR XXXXXXX K XXXXXXX
DIRECTOR
DEPTT. OF NEUROSURGERY
Above answer was peer-reviewed by :
Dr. Yogesh D
is MRI necessary? or i should go through the above medicines?
Brief Answer:
LEFT PARIETAL INFECTIVE GRANULOMA
Detailed Answer:
DEAR MS XXXXXXX JI
HELLO
SORRY FOR UNAVOIDABLE DELAY IN ANSWERING
Getting an MRI BRAIN is always better , especially to rule out other differential diagnoses like tubercular lesion etc.
Though on your CT SCANS it appears as NEUROCYSTICERCOSIS (about 70-80%)
Go ahead as per your neurologist .
What i have suggested you is a standard protocol around the world .
Thanx
Dr XXXXXXX k XXXXXXX
Above answer was peer-reviewed by :
Dr. Prasad
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