Dear Mrs Ravijyotsna
I have reviewed summary given by you and there are two inter-related issues i.e. tuberculoma
of brain and seizures.
a) For tuberculoma, he needs to take antituberculosis drugs for atleast for one year. Reasons for repeated biopsy
is not clear and also about initial size of lesion and description of MRI findings have not been provided by you
b) If change to Divaa OD was 250 mg once a day, it was inadequate and need to have full dosage. The dose of encorate
will be from 750-1500 mg /day based on body weight and level of control of seizures. Addition of eptoin
is not clear to me with available information.
c) Suggest to have a repeat MRI study if not done recently to assess size of lesion and consult a neurologist
near to you