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Dr. Andrew Rynne

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Is the fever because of chronic borderline hypertension or due to some intracranial tumors ?

1.my dad age : 52 yrs old had a episode of fever and collapsed with low bp of 80\60 at that time his eyes rolled up is that a seizure ? 2.in investigations CT scan - a tiny calcified granuloma in occipital lobe was present what might be the diagnosis? 3.past history : he had chicken pox during 40 yrs following that he had fluctuating sugar levels sudden hypoglycaemia & fainting but now its normal , fluctuating BP 140/90 or sometimes its 130|90 , chromogranin b level is high & in query for phaeochromocytoma/neuroblastoma 4.occupational history : he also does farming what will be the diagnosis ? is it because of chronic borderline hypertension like stroke /infective like neurocysticercosis /because of some intracranial tumours ??
Mon, 10 Dec 2018
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Neurologist 's  Response
Hello,

If the episode was an isolated one and in the setting of fever and low blood pressure then it may be in the setting of a secondary involvement of the brain due to lack of perfusion with blood.

It may have been a seizure but not necessarily due to a primary brain issue, if the origin (in this case dehydration and low blood supply) is corrected then it should remain an isolated episode and no treatment needed.

I don't think hypertension is related to the symptoms or to the findings in the occipital lobe, it is not a stroke, it would be easily identifiable on CT.

To judge the nature of that occipital lesion and whether it may be related to the fever I am afraid a CT scan is not enough, a contrast MRI exam is recommended.

Hope I have answered your query. Let me know if I can assist you further.

Take care

Regards,
Dr Olsi Taka, Neurologist
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