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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suggest Treatment For Encephalomalacia In Parietal Lobe On MRI

hi doctor my name is sofia i am 43 years old i became unconcious 6 month before the doctor diagnose and said that i am syncopy patient i did my mri the report said Area of gliosis/encephalomalacia in posterior part of left parietal lobe, most likely due to old infarct. please tell me what is the treatment and medicine is it dangerous
Tue, 27 Jan 2015
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Neurologist, Surgical 's  Response
Hello. I have been through your question and understand your concern.

It seems you had an old infarct which somehow reorganised into an epileptogenic focus which produces seizures. It is a common eventuality after stroke. Generally this is a benign situation. You just need to prevent further seizures with the appropriate anti epileptic drugs (Depakote is what I recommend)

Yet you should have several heart test (ECG, Esophageal echocardiogram) hypercoagulability blood test, Doppler of the carotid arteries and neck-head MRI to find what caused you the first stroke to prevent a second one.

Hope this helps. Please feel free for further questions.
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Suggest Treatment For Encephalomalacia In Parietal Lobe On MRI

Hello. I have been through your question and understand your concern. It seems you had an old infarct which somehow reorganised into an epileptogenic focus which produces seizures. It is a common eventuality after stroke. Generally this is a benign situation. You just need to prevent further seizures with the appropriate anti epileptic drugs (Depakote is what I recommend) Yet you should have several heart test (ECG, Esophageal echocardiogram) hypercoagulability blood test, Doppler of the carotid arteries and neck-head MRI to find what caused you the first stroke to prevent a second one. Hope this helps. Please feel free for further questions.