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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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What does MRI Brain Scan showing possible tuberculoma or Neurocysticercosis mean?

My Mother recently had MRI Brian Scan and the findings are: 1. Tiny ring enhancing lesion in right mid/superior parietal sub cortical region with minimal perifocal edema- S/O infective Granuloma - possible tuberculoma / Neurocysticercosis. 2.Multiple tiny non enhancing hyperintense areas in bilateral periventricular frontal parieto occipital and bilateral mid and superior parietal regions- S/O ischemic / Demyelinating Areas. Can you please tell me what does this mean and is this serious problem and what treatment needed. Thank You
Mon, 11 Mar 2019
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Physical Therapist or Physiotherapist 's  Response
Hello,

Well, to start with a comment I would like to say, that MRI is a diagnostic procedure and it helps us to correlate the clinical symptoms with the pathology of the neural tissue.

So, MRI is nowhere a true diagnosis but a diagnostic procedure. Without correlating with clinical symptoms commenting is not possible.

As mentioned in the MRI, this sounds to be possible tuberculoma/neurocysticercosis but needs a clinical examination and assessment for the symptoms.

Also, due to aging, there will be ischemic/demyelinating changes and which needs as said before a clinical correlation.

A neurologist is the one to be visited and have a clinical examination done. Once done examination and correlation with MRI, the clinical provisional diagnosis will be made and the symptomatic treatment will be started.

Treatment will include - medication, physical therapy, and diet.

If your mother has any other past medical history of High blood pressure of High blood glucose levels than that also will need attention to workout by the cardiologist and the diabetologist.

Any other underlying past medical history will also be considered and treated accordingly. I will advise going through the word by the neurologist based on the clinical examination.

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

Take care

Regards,
Jay Indravadan Patel, Physical Therapist or Physiotherapist
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What does MRI Brain Scan showing possible tuberculoma or Neurocysticercosis mean?

Hello, Well, to start with a comment I would like to say, that MRI is a diagnostic procedure and it helps us to correlate the clinical symptoms with the pathology of the neural tissue. So, MRI is nowhere a true diagnosis but a diagnostic procedure. Without correlating with clinical symptoms commenting is not possible. As mentioned in the MRI, this sounds to be possible tuberculoma/neurocysticercosis but needs a clinical examination and assessment for the symptoms. Also, due to aging, there will be ischemic/demyelinating changes and which needs as said before a clinical correlation. A neurologist is the one to be visited and have a clinical examination done. Once done examination and correlation with MRI, the clinical provisional diagnosis will be made and the symptomatic treatment will be started. Treatment will include - medication, physical therapy, and diet. If your mother has any other past medical history of High blood pressure of High blood glucose levels than that also will need attention to workout by the cardiologist and the diabetologist. Any other underlying past medical history will also be considered and treated accordingly. I will advise going through the word by the neurologist based on the clinical examination. Hope I have answered your query. Let me know if I can assist you further. Take care Regards, Jay Indravadan Patel, Physical Therapist or Physiotherapist