Get your Health question answered in 3 easy steps
A Doctor will be with you shortly
Ask a Doctor Now
179 Doctors are Online

MRI brain shows multiple tuberculomas in bilateral syhian fissures & conernous sinus region, advised biopsy. Is it necessary ?

my wife, 52 yrs., 12 months back, diagnosed with Hyponatremia & Cryptococcal Meningities and treated accordingly, following with under treatment for Meningities Tuberculasis and on AKT for 11 months. Recently on MRI brain shows multiple tuberculomas in bilateral syhian fissures & conernous sinus region....Dr. has advised for Biopsy of the lesion &C/S. Is it necessary for Biopsy and has any risk or any alternate test can be done? AAAAA, AAAA(AAAA)
Asked On : Mon, 21 Jan 2013
Answers:  1 Views:  43
Report Abuse
Share on Facebook
Share on Twitter
Share on Google+
Question is related to
Medical Procedures
Neurologist 's  Response
Nov 2013

Thank you for posting your query.

The initial treatment for tuberculous meningitis was started on empirical grounds (without confirming the diagnosis). If the current MRI had not shown any new findings, then, the doctor would have continued the TB treatment for at least another 7 months.

Since, there are tuberculomas, it is possible that we are dealing with multi-drug resistant TB or some other infection/disease, so, I also agree that biopsy of the brain lesion is the best option at this point.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Senior Consultant Neurologist
Apollo Hospitals, Hyderabad
Answered: Tue, 5 Feb 2013
I find this answer helpful
Disclaimer: These answers are for your information only and not intended to replace your relationship with your treating physician.
This is a short, free answer. For a more detailed, immediate answer, try our premium service [Sample answer]


Loading Online Doctors....
© Ebix, Inc. All Rights Reserved.
All the information, content and live chat provided on the site is intended to be for informational purposes only, and not a substitute for professional or medical advice. You should always speak with your doctor before you follow anything that you read on this website. Any health question asked on this site will be visible to the people who browse this site. Hence, the user assumes the responsibility not to divulge any personally identifiable information in the question. Use of this site is subject to our Terms & Conditions
Already Rated.
Your rating:

Ask a Doctor