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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Weakness In Legs And Fingers, MRI Done, Diagnosed As Brain TB, On Anti Tuberculosis Medicines. Cure?

dear sir my mother 54years old .2month later mother weakness rs leg and hand finger .doctor presscribe staroad and some neuro medicine. at that time my mother well now and stop the medicine.after one week same problem my mother.doctor say ct scan with contrast.ct scan result left side brain one ring circle with edema .doctor say mri urgent mri report tuber cloma doctor say brain tb and prescribe anti tuberculosis medicine..my mothey take this medicine 12 january after 10days attack convulsion my mother.i admitted hospital with convulsion after two days discharge my mother.but my myother situation so bad she do not obeing command.but medicine continu.after 2weeek i admitted my mother neuro nursing home she admitted 19days and obeying command and improve.then discharge but doctor not certen the main problem but continue the same medicine .at that time my mother same problem right side led and hand problem and do not obeing command with convulsion. kindly advice my name subrata
Wed, 20 Mar 2013
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Neurologist, Surgical 's  Response
Dear Subrata,

If I understood your problem correctly: your mother has been started on anti-tuberculous medication on the basis of a CT and MRI scan of the brain. Even with the medication you are worried that her convulsions are continuing and the right sided weakness is continuing. All medicines take some time to act and for the limb weakness to improve it would take some time.

However, the diagnosis of tuberculoma has been made on imaging grounds and if the disease is not responding to medications, then it would be appropriate to consider to get a tissue diagnosis- i.e operate to get a sample of tissue from the brain to confirm the diagnosis.

Hope this answers your question.
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Weakness In Legs And Fingers, MRI Done, Diagnosed As Brain TB, On Anti Tuberculosis Medicines. Cure?

Dear Subrata, If I understood your problem correctly: your mother has been started on anti-tuberculous medication on the basis of a CT and MRI scan of the brain. Even with the medication you are worried that her convulsions are continuing and the right sided weakness is continuing. All medicines take some time to act and for the limb weakness to improve it would take some time. However, the diagnosis of tuberculoma has been made on imaging grounds and if the disease is not responding to medications, then it would be appropriate to consider to get a tissue diagnosis- i.e operate to get a sample of tissue from the brain to confirm the diagnosis. Hope this answers your question.