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I underwent a right temporal lobectomy at age 29 after

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Posted on Thu, 28 Mar 2019
Question: I underwent a right temporal lobectomy at age 29 after intractable seizures. Cause was found to be lesion on the hippocampus, possible due to hypoxic episode in adolescence. I am now 53 and now experiencing falls, somnolence, short term memory impairment/ retention, depression. Recent MRI reveals right temporal lobe encephalomalacia. Since I cannot locate another MRI post surgery, would the cause be related to falls / striking my head and/or a normal risk r/t surgery?
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Answered by Dr. Bhagyesh V. Patel (1 hour later)
Brief Answer:
Encephalomalacia can be related to injuries or previous surgical procedure.

Detailed Answer:
Hello and welcome to Ask A Doctor services.
I have read your query and here is my advise.

* Encephalomalacia is softening of part of the brain due to various reasons involving
white or grey matter of the brain giving rise to different symptoms ; which can date
back to injuries or previous surgical insult involving the part of the brain.

In order to proceed further with your query , kindly provide me further details.

1. Onset of current symptoms - duration, progress over time.
2. Obvious known injury to the head in recent past or within 4-6 months before onset
of the problem ?
3. If available and possible, MRI plates will help great.

Awaiting for your response.
Regards.

Dr Bhagyesh
Above answer was peer-reviewed by : Dr. Nagamani Ng
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Answered by
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Dr. Bhagyesh V. Patel

General Surgeon

Practicing since :1999

Answered : 16233 Questions

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I underwent a right temporal lobectomy at age 29 after

Brief Answer: Encephalomalacia can be related to injuries or previous surgical procedure. Detailed Answer: Hello and welcome to Ask A Doctor services. I have read your query and here is my advise. * Encephalomalacia is softening of part of the brain due to various reasons involving white or grey matter of the brain giving rise to different symptoms ; which can date back to injuries or previous surgical insult involving the part of the brain. In order to proceed further with your query , kindly provide me further details. 1. Onset of current symptoms - duration, progress over time. 2. Obvious known injury to the head in recent past or within 4-6 months before onset of the problem ? 3. If available and possible, MRI plates will help great. Awaiting for your response. Regards. Dr Bhagyesh