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Dr. Andrew Rynne

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Could Large Gliosis On Temporal Lobe Shown On CT Scan Of Brain Refer To Epilepsy?

Hi, I have problems with my memory. I can not remember information that I read or listen to and I have difficulties forming sentences (speech). I had an old injury to my right eye nerve. I did a CT scan recently which showed a moderately large gliosis in the right temporal lobe. I did EEG and was normal. My neurologist suspects it is an epilepsy and gave me medications for that. However, I read online on the topic and found that the epilepsy symptoms do not happen in my case except the memory issue. I wonder what to do next.
Tue, 25 Feb 2014
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Neurologist,  's  Response
Hi,

Thank you for posting your query.

I have noted your details. Large gliosis in the temporal lobe seen in the CT suggests a past history of brain injury. It may lead to epilepsy, however, as you suggested, your symptoms are not suggestive of epilepsy. So, in my opinion, you do not require epilepsy medications.

The cause of your memory loss needs to be investigated. Serum vitamin B12 level and thyroid profile may be done.

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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Could Large Gliosis On Temporal Lobe Shown On CT Scan Of Brain Refer To Epilepsy?

Hi, Thank you for posting your query. I have noted your details. Large gliosis in the temporal lobe seen in the CT suggests a past history of brain injury. It may lead to epilepsy, however, as you suggested, your symptoms are not suggestive of epilepsy. So, in my opinion, you do not require epilepsy medications. The cause of your memory loss needs to be investigated. Serum vitamin B12 level and thyroid profile may be done. 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/