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Had multiple large calcified foci in bilateral crebral hemispheres. Meaning?

sir,i m suresh. when i was 14 yrs old,i went through attack.I went to neurologist and shown my CT scan report.The report was as follow......MULTIPLE LARGE CALCIFIED FOCI ARE SEEN IN BILATERAL CEREBRAL HEMISPHERES,MORE ON LEFT SIDE WITH SIGNIFICANT PERIFOCAL OEDEMA SEEN AROUND CALCIFIED LESION IN LEFT FRONTAL REGION.NO OBVIOUS MASS EFFECT____FINDINGS ARE SUGGESTIVE OF __MULTIPLE CALCIFIED HEALED GRANULOMAS WITH SIGNIFICANT PERIFOCAL OEDEMA IN LEFT FRONTAL REGION__LIKELY SECONDARY TO UNDERLYING ACTIVE INFLAMMATORY GRANULOMA AND REST ARE NORMAL.doctor gave medicines for six months and again i went through CT scan.The report was... MULTIPLE PROMINENT CALCIFIED FOCI ARE SEEN IN BILATERAL OCCIPITAL,LEFT FRONTAL REGION AND RIGHT HIGH PARIETAL REGION WITH ASSOCIATED SIGNNIFICANT PERILESIONAL OEDEMA.MOST OF OF THE LESIONS ARE SUBCORTICAL IN LOCATION WITH NO OBVIOUS ENHANCEMENT SEEN ON POST CONTRAST IMAGES __CALCIFIED BUT ACTIVE GRANULOMAS/ ?NATURE plz hlp me sir
Asked On : Fri, 7 Sep 2012
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Psychiatrist 's  Response
Hi,
Thanks for writing in to us.

I understand you got your first CT scan after having generalised seizures and meeting your neurologist.

From the report findings (first scan) mentioned by you, there are multiple distributed calcification in both sides of your brain. They are more on the left side with one in left frontal area showing some activity (oedema) which might have caused the seizure. As size is not mentioned, it might be due to neurocysticercosis or TB bacteria.

In the second scan, there is mention of the calcifications persisting. This time there is oedema around more than one calcification. In other words though they are healed (will not grow in size), due to slight activity, there is swelling in the brain tissue around and this can cause seizures.

There is nothing to worry except that you must take medications and meet your doctor regularly. This may continue for a months or years. Do not do any high risk activity like driving, swimming or cooking without asking your doctor. Maintain a diary of when you get seizures and for how long. Do not stop taking medications.

Hope this helps
Answered: Thu, 29 Aug 2013
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