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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is It Brain Infection Or TB?

Hi. My mother, 57 yrs old, two weeks back seems to have got a mild paralytic attack due to wch her left side has been affected..She has been a patient of high BP since last 02 years. Two weeks back, we noticed her holding grip had weakened a lot, her facial muscles had twisted, she faced slight difficulty in walking & her speech was not clear. She was hospitalised for a week & is better now. Doctors state that their is an infection in her brain, due to which this happened. One report is still awaited (they took out fluid from the spine bone) The doc doubts if it is TB, however our family doctor states it should not be TB. She has no fever, etc. Does anyone have an idea what it could be?
Tue, 28 Jan 2020
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Internal Medicine Specialist,  's  Response
Hello,As there is history of high BP plus the age factor and symptoms are suggestive of reversible ischemic neurological deficit (RIND), as there is no history of weight loss, TB contact night sweats and fever etc., so it is less likely to be TB.I would suggest to do further investigations like echo, carotid Doppler and CT brain Esr, and please monitor her condition for next few days. Also get her BP record and see whether the weakness is increasing or not.Hope I have answered your query. Let me know if I can assist you further.

Regards,
Dr. Abrar, Internal Medicine Specialist
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Is It Brain Infection Or TB?

Hello,As there is history of high BP plus the age factor and symptoms are suggestive of reversible ischemic neurological deficit (RIND), as there is no history of weight loss, TB contact night sweats and fever etc., so it is less likely to be TB.I would suggest to do further investigations like echo, carotid Doppler and CT brain Esr, and please monitor her condition for next few days. Also get her BP record and see whether the weakness is increasing or not.Hope I have answered your query. Let me know if I can assist you further. Regards, Dr. Abrar, Internal Medicine Specialist