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Suspicion of brain tuberculoma. How long should AKT-3, B-long, Levipil be taken?

i am 34 years old and is suspected to have brain tuberculoma? After MRI , doctor is not sure whether this is cysteriostisis or brain tuberculoma? He has suggested to take treatement for tuberculoma for time being and do a repeat MRI afte i hvae repeat MRI afyer 10 month then MRI report resolve edema but not reduce size Dr adv continew medicin for 8 month more.and also repeat MRI on 01/11/2012 report is as below-pre & post contrast mri of the brain was performed using T1 & T2 weighted sequences in multiple planes, using a quadrature head coil. clinical profile- known case of tuberculoma on AKT since march 2011 presently asymyptomatic.- Fallow up scan- Comparison has been made with previous MRI date on 26/01/2012, there is singificant decrease in the enhancement of the confluent granulomas in left temporal perisylvian parenchyma. The perilesional oedema shows complete resolution. rest of the brain parenchyma including brain stem and cerebellum appears normal. other finding are more or less unchanged. No new lesion is detected . above finding are suggestive of response to therapy . Sir pls adv to me how many month i will continew this medicin- AKT-3,B-long, Levipil-500
Asked On : Thu, 13 Dec 2012
Answers:  1 Views:  137
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Neurologist 's  Response
Nov 2013

Thank you for posting your query.

Brain tuberculoma is a form of brain TB.

It is good to note that you are showing good response to treatment.

For brain tuberculoma, at least 18 months of anti-TB medications (AKT-3, Blong) are required.

Levipil (levetiracetam) is a medicine to prevent fits. It should be continued till your MRI becomes totally normal.

Best wishes,
Dr Sudhir Kumar MD DM (Neurology)
Consultant Neurologist

Answered: Wed, 19 Dec 2012
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