Hi, 1. Diffuse cerebellar atrophy with prominent cerebellar folia and sulcal spaces This means that the back part of brain called small brain in common langauge is undergoing age-related degeneration which is normal after the age of 50 years (you have not mentioned your age). there is nothing to worry about this. 2. Small calcified granuloma in the right parietal subcortical region with adjacent minimal perilsional oedema / gliotic matter. This means there is a small area on the right side of the top of the brain matter which was partly injured previously (you have not mentioned your problem anywhere, neither you have mentioned that whether you suffered any injury to the head or any seizures!). This part of the injured brain (cause?) is healing slowly is being replaced by scar tissue along with slight swelling around this area which is a normal process in any part of the body that is injured. This scarred area can cause seizures and headaches in the long term. Nervousness and dizziness can be a side-effect of the medicine itself. You can request your neuro physician to change your medicine if these symptoms are affecting your day to day life. However, if your seizures are controlled (which I assume that you must have since you are taking Zenoxa) and your symptoms are tolerable, I will advise continuing with these medications only. Please let me know about the following: 1. Your age 2. Your symptoms at the onset of illness 3. Any head trauma/stroke that you suffered previously. 4. The present complaints are tolerable or not? 5. Seizures controlled or not? Take care. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Kaushal Deep Singh, General Surgeon