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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Episodes Of Unconsciousness. CT Scan Shows Calcified Granuloma Without Edema. Prescribed Epsolin Er With Multivitamins. Sufficient?

my cousin,aged around20 yrs, have episodes of unconsiousness for last 2-3 yrs , duration of unconsiousness is about 40 - 50 secs.she is not taking any medicine. now she contact a doctor & he advised a CT. CT report suggestive of 3 old calcified granuloma with out edema. doctor prescribed her tab epsolin ER 300 mg along with some multivitamins for 2 yrs. i want to know is this treatment is sufficient?? as in her elder brother case CT report was suggestive of neurocysticercosis & he was advised prednisolone, albendazole along with epsolin. plz help me. i will be very thanful to you.
posted on Thu, 20 Jun 2013
Twitter Thu, 20 Jun 2013 Answered on
Twitter Fri, 21 Jun 2013 Last reviewed on
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Psychiatrist,  's  Response
Hello,
Thanks for writing in.

You are confused regarding epsolin, prednisolone and albendazole being prescribed for neurocysticercosis and epsolin for old calcified granuloma.

In neurocysticercosis I suppose that it was cystic stage where the worm is alive. Albendazole is given to kill worm, prednisolone is steroid given to decrease brain swelling (edema) and epsolin to control seizures.
In your cousin for only calcified granuloma (dead worm) only epsolin is sufficient to control seizure activity.

Hope this helps.
Dr Anjana Rao
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Episodes Of Unconsciousness. CT Scan Shows Calcified Granuloma Without Edema. Prescribed Epsolin Er With Multivitamins. Sufficient?

Hello, Thanks for writing in. You are confused regarding epsolin, prednisolone and albendazole being prescribed for neurocysticercosis and epsolin for old calcified granuloma. In neurocysticercosis I suppose that it was cystic stage where the worm is alive. Albendazole is given to kill worm, prednisolone is steroid given to decrease brain swelling (edema) and epsolin to control seizures. In your cousin for only calcified granuloma (dead worm) only epsolin is sufficient to control seizure activity. Hope this helps. Dr Anjana Rao