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Suggest Treatment For Neurocysticercosis

Posted on Fri, 12 May 2017

Question: age 62 years (male) , suffering from neurocysticercosis since apr 2016. his mouth became slightly tilted and voice was blurred. then after medication it recovered but medication continued. he is on levipil 500 mg , lobozam 5 and shelcal . he is also diabetic and sugar level also is on bit higher side. for sugar he takes humsulin 30:70. zoryl 2mg and mgd3. sugar last week was 300 after fasting. since last few days his mouth again become tilted and voice blurred. now doctor has increased levipil dosage to 750 mg. also in between for 3-6 months doctor has also given TB medicine ( INH, RCIN, combitol, pza and benadon )
need to know is treatment right. or what can be done as it's long time.

Answered by Dr. Neeraj Kumar (41 minutes later)

Brief Answer:
Upload images and prescription

Detailed Answer:
Hello,
I have gone through your question and understand your concern.
In case of neurocysticercosis, antiepileptics is required only. Seizure may reoccur even with regular treatment due to dying and degenerating neurocysticercosis.
Tuberculosis treatment is not required until there is tuberculosis of some other organ or diagnosis of neurocysticercosis is not certain with possibility of tuberculoma.
You should upload images and prescription for evaluation.
Hope you found the answer helpful.
Do get back to me for further information.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Prasad

Follow up: Dr. Neeraj Kumar (31 minutes later)

enclosing current prescription for neuro and diabetes .also MRI report of oct 2016

Answered by Dr. Neeraj Kumar (18 hours later)

Brief Answer:
Reports not available yet

Detailed Answer:
Hello,
There is no reports available yet. You can upload it or you can send it YYYY@YYYY and address it to my name: Dr Neeraj Kumar.
please consult help desk for problems related to uploading of reports.
Regards
Dr N Kumar

Above answer was peer-reviewed by : Dr. Vaishalee Punj

Follow up: Dr. Neeraj Kumar (11 minutes later)

attaching again.

Answered by Dr. Neeraj Kumar (20 hours later)

Brief Answer:
Continue antiepileptics

Detailed Answer:
Hello,
I have reviewed the prescription.
Sometimes brain mri lesion is not definitely suggestive of neurocysticercosis or tuberculoma.
May be under unsurity ATT was given.
But for seizures the drugs are right and needs to be continued for atleast 2-3 years or until lesion resolves.
Wishing you good health and early recovery.
Regards
Dr N Kumar
Neurologist

Above answer was peer-reviewed by : Dr. Kampana