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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Periodic Giddiness, Abdomen And Umbilical Pain, MRI Shows T2W/FLAIR Hyperintense Focus Frontal In White Matter. Meaning?

my child age is 10 years(female) she is suffering giddiness on and off four to five times daily from 10days, pain at umblical region, abdominal pain since 15 days, no fever, no vomitings, our local doctor says, worm is dead condition in brain after he examed in MRI report, that evidence of rounded T2W/FLAIR hyperintense focus seen in right frontal white matter - ? granulomatous lesion. (MRI of Brain plain and contrast) after 3 days a ct scan report impression is Bilateral globus pallidus show minute calcific focus, In EEG report Abnormal awake EEG record suggestive of genralised seizures discharges during the HV, in stool test appearance colour - pale black, microscopic examination OVA(Helminths)-Ova of enterobious seen 1-2(in 1st report) after 3 days appearance colour-yellow, OVA(Helminths) not found, Amoebae- motile ameobae seen(in 2nd report) and all reports are OK(LFT,Thyroid,CBC,ECG,Ultra sound scan of Abdomen). now we are using the following medications tab oxtal 300mg tid, lobazam 10mg tid,nexital 5mg night a day, keppra 500mg tid rabizen 20mg early morning. But now she is suffering giddiness on and off two to three times daily and her behavior completely changed
Fri, 2 Nov 2012
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Neurologist 's  Response
Hello,
The reports of your daughter are suggestive of seizures in her which are probably due to worm infestation. The medications which she is on are for control of seizures. But i am of the opinion that these medications are too much and are in a higher dosage than is required for a child of her age. The giddiness and change in behavior are likely to be due to side effect of these medications. You need to consult a neurologist for optimization of the medications.
Good luck
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Periodic Giddiness, Abdomen And Umbilical Pain, MRI Shows T2W/FLAIR Hyperintense Focus Frontal In White Matter. Meaning?

Hello, The reports of your daughter are suggestive of seizures in her which are probably due to worm infestation. The medications which she is on are for control of seizures. But i am of the opinion that these medications are too much and are in a higher dosage than is required for a child of her age. The giddiness and change in behavior are likely to be due to side effect of these medications. You need to consult a neurologist for optimization of the medications. Good luck