Suggest treatment for neurocysticercosis - Online Doctor Chats
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Practicing since : 2003
Answered : 1563 Questions
Hi
Hi are you a neurologist ?
I am a general physician
I can help you within my capacity
ok
Please go ahead with your query
I had seizure 3 months ago
ok
when i went for MRI
it said possibility of NCC/tuberculoma
I met a neurologist
ok
and she started treatment
ok
she gave me eption first
eptoin*
but my phenytoin range was very low
so she started giving me levipil
ok
and she adivised me to go for an MRI after 3 months
i was seeing partial seizures after a month
and i went for an MRI yesterday
ok
it hasnt regressed not increased
ok
she adde tegritol and frisium
i would like to have a 2nd opinin on this
ok
The lesion seems calcifie
normally how long would it take for an NCC to cure
NCC is neurocysticercosis
yes
It is a parasitic infection
If it is active then albendazole etc can be given to kill it
If it is already dead then the mainstay of treatment is antiepileptic medicines
Like the ones you are being prescribed
they say its a worm egg
yes
and the leison around it is calcified is what they said today
You can anyways take antiparasitic treatment under the supervision of doctor
so you think we are going in a right direction
?
Calcified lesion means dead parasite
ok
Yes
Since the procedure to take it out will be very cumbersome
ok
Mostly person with similar lesions ends up taking antiepileptic medicine
ok madam
Though so many anti-epileptics will have their own side-effects
so how long will it take for it to cure
?
Antiepileptic medicine is for seizure only
It has no effect on the lesion itself
she has also given some steroids for leison
let me check the name once
ok
omnocortil
It is prednisone
So in my case,what course of action would you reccommand ?
Since you are already on steroids
I would try a course of albendazole along with steroids
ok
I will also titrate the antiepileptic medicines with the risk of seizures
since too many medicines can have side-effects
Steroids can temporarily control inflammation in the brain
But should not be used long term
ok
she has given it for a month
ok
She is a better guess of your condition
Since she can examine you
ok
You can always take a second opinion from another neurologist
ok doctor.thank you very much.
If you want you can use Ask A specialist service
ok
Thanks for consulting me
ok but can we chat over there ?
No
ok
Do you have any question here?
no
ok XXXXXXX
Thanks once again
take care
Thank you madam.
ok then
bye
bye
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