HealthCareMagic is now Ask A Doctor - 24x7 | https://www.askadoctor24x7.com

Get your health question answered instantly from our pool of 18000+ doctors from over 80 specialties
159 Doctors Online

By proceeding, I accept the Terms and Conditions

Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

HCM Blog Instant Access to Doctors
HCM BlogQuestions Answered
HCM Blog Satisfaction

How To Overcome The Problem Of Headache That Happens Almost Once Every Week?

my son,age 11 have a problem of headache,which happens almost once every week.neurolgist suggested mri,which revealed 'focal hypointense with surrounding edema in left cerebellar hemisphere likely inflammatory granuloma'.dr.then suggested contrast mri,which show inflammatory granuloma in the left lobe of chypointense erebellar,hypointense possibility of tuberculoma is likely in view of hypointense signal intensity on T2W images .result of ESR/ MONTOUX TEST/ XRAY CHEST are still awaited.what is the diagnosis , treatment,precautions and effect.
Mon, 22 Aug 2016
Report Abuse
Neurologist, Surgical,  's  Response
Hi. this headache is due to raised ICP caused by mass effect due to cerebellar space occupying lesion. Most lilely it is tuberculoma will be confirmed by montoux test ,ESR and x ray chest report . Tuberculoma is managed conservatively if small in size and supra tentorial .
In your case , treatment is ATT , steroids and antiedema measures. Surgery is done when repeated headache with vomiting with bradycardia and size is sufficient enough to cause fourth ventricle compression and hydrocephalous .
Precautions are you have to take AKT FOR 1 YEAR and serial follow up with neurosurgeon.
Prognosis is good and there are no long term effects .
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]
Share on
 

Recent questions on Granuloma


Loading Online Doctors....
How To Overcome The Problem Of Headache That Happens Almost Once Every Week?

Hi. this headache is due to raised ICP caused by mass effect due to cerebellar space occupying lesion. Most lilely it is tuberculoma will be confirmed by montoux test ,ESR and x ray chest report . Tuberculoma is managed conservatively if small in size and supra tentorial . In your case , treatment is ATT , steroids and antiedema measures. Surgery is done when repeated headache with vomiting with bradycardia and size is sufficient enough to cause fourth ventricle compression and hydrocephalous . Precautions are you have to take AKT FOR 1 YEAR and serial follow up with neurosurgeon. Prognosis is good and there are no long term effects .