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Dr. Andrew Rynne
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Dr. Andrew Rynne

Family Physician

Exp 50 years

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Had Worms In Stomach, Travelled To Brain Causing A Swelling In The Brain. Taking Epsolin. Also Have Been Prescribed Albendazole, Encronate Crono And Frisium. Treatment?

My wife had worms in the stomach and they apparently travelled to brain causing a swelling in the brain. Sh e suffered from seizures before being diagnosed with this problem. She has been prescribed epsolin which is a drug for epilepsy. I want to know if there is a permanent cure because she is fast slipping into depression, she also has been prescribed Albendazole, encronate crono and frisium. She is also not responding well to these drugs as she has developed swelliing in her mouth. Please advise.
Sat, 4 May 2013
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Pathologist and Microbiologist 's  Response
Hello and welcome to HCM,

There are a number of worms which travel from other parts of the body to the brain, eg, cysticerus, etc., etc.
When the worm reaches the brain, it causes pressure on the surrounding brain tissue.
The symptoms depend on the location of the worm in the worm in the brain.
Epilepsy is one symptom of parasite in the brain.
Anti-epileptics are just controlling the symptoms of epilepsy.
The anti-helminthic drugs will actually treat/ kill the parasite and reduce the swelling in the brain tissue. Treating the parasitic infection will control the symptoms of epilepsy also.

Thanks and take care.
Dr Shailja P Wahal



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General & Family Physician Dr. S. Jegadeesan's  Response
Hello,
Your wife was infected with amebiasis (round worm) - the probable source is soil or water contaminated with egg - which in turn develops into larva in the stomach - later thro' lung goes into brain. They bring their own bacteria and viruses. Bacteroides needs a host like Ascaris. The brain resist their entry (infection) producing inflammatory changes in the brain (abscess), which is the cause for seizures.
Treatment:
1) Treat the route cause - Ascaraiasis, Bacteria and virus.
2) Anti epileptic measures
The treatment your wife is getting is 100% alright. The course of each tab. depends on improvement and standard calculation for antiepileptic drugs which has o be decided by the neurologist as per recurrence of seizure.
As she is treated in the right way - no need to worry.
Best wishes



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Had Worms In Stomach, Travelled To Brain Causing A Swelling In The Brain. Taking Epsolin. Also Have Been Prescribed Albendazole, Encronate Crono And Frisium. Treatment?

Hello and welcome to HCM, There are a number of worms which travel from other parts of the body to the brain, eg, cysticerus, etc., etc. When the worm reaches the brain, it causes pressure on the surrounding brain tissue. The symptoms depend on the location of the worm in the worm in the brain. Epilepsy is one symptom of parasite in the brain. Anti-epileptics are just controlling the symptoms of epilepsy. The anti-helminthic drugs will actually treat/ kill the parasite and reduce the swelling in the brain tissue. Treating the parasitic infection will control the symptoms of epilepsy also. Thanks and take care. Dr Shailja P Wahal