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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Done With MRI. Had Partial Facial Paralysis. What Are The Findings And Required Treatment?

My MRI shows lobulated oval lesion isohypointense on T1 and isohyperintense on T2 W1 showing well defined thick enhancing walls measuring 27/22/25 mm seen in right frontoparietal cortex stragging lateral sulcus with broad zone of white matter edema. recently had first episode of partial facial paralysis. what am i suffering from. pl help.
Wed, 24 Apr 2013
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Internal Medicine Specialist 's  Response
hi
a well encapsulated mass lesion with severe peri edema is Cancerous other wise proven else.....
evolving side of hemorrhage with in lesion as fascial paralysis
now you have two pathways
sterotactic brain biopsy
or complete exciosion ...i will advice complete excision
then biopsy report and finally chemo and radiotherapy for 6 months....dont wait ....mean whiile go for MR spectrscopy....if abcess.... but broad zone of edema itsless possible
take care
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Done With MRI. Had Partial Facial Paralysis. What Are The Findings And Required Treatment?

hi a well encapsulated mass lesion with severe peri edema is Cancerous other wise proven else..... evolving side of hemorrhage with in lesion as fascial paralysis now you have two pathways sterotactic brain biopsy or complete exciosion ...i will advice complete excision then biopsy report and finally chemo and radiotherapy for 6 months....dont wait ....mean whiile go for MR spectrscopy....if abcess.... but broad zone of edema itsless possible take care