Concluded Case

As per respected doctor's advised MRI brain and EEG report done.

b"A 25years old male patients having h/o tuberculosis and abnormal movement of body with attack of unconsciousness.\nHave been treated 9month for tuberculosis.\nDuring koch's treatment patient was normal but after 9month of treatment patient having same attack of unconsciousness repeatedly.\n\nPatient side is if he have cold symptoms with b/l nose block then he face seizures...\nKindly suggest me follow up and the line of treatment.\n\nPrevious report and prescription are attached."

(Edited)

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Concluded answer

Need mri of brain Ltd. For further evaluation Tiil gaive pt. Symptomatic rx

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MRI and EEG of brain required, Rule out TBM andits treatment

Thanks Dr. Shivraj Agrawal, Dr. Kute Ankush, Dr. Surendra Nehra
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Xray and old history suggest for pulmonary kochs, and state of unconciousness and seizure may be refering towards brain involvement, so MRI needed with CSF fluid analysis.

25/M..k/c/o: Pulmonary TB. post 9 M treatment presented with seizure episodes,from history it looks to be GTCS Type. isoniazid do causes neurotoxicity. CNS TB infection to be ruled out thru MRI. Further evaluation is required to identify any lesion. find out if post ictal phase any confusion and disorientation. Meanwhile continue symptomatic therapy.

Thanks for ur appreciation Dr Surendra Nehra..
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CECT brain/ MRI

CXR..STUDY .. ? KOCH'S .. WITH .. ASSOCIATED COMPLICATIONS .. NEED'S TO R/O .. BRAIN INVOLVEMENT .. WITH .. NEUROLOGICAL EVALUATION .. MRI..STUDY .. NEUROLOGISTS OPINION .. ATT ..

Tnx Dr Vipin Bihari Jain sir
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PTB Needs Symptomatic T/T clinical correlation

Need mri of brain Ltd. For further evaluation Tiil gaive pt. Symptomatic rx

Tuberculoma brain causing complex partial seizures with active pulmonary Koch's disease . Fundus exam for possible military tuberculosis seems to be negative and vision 6/6 ,.

Please read as TUBEECULOMA NOTTUBERCULOSIS WHICH IS A TYPO. Suggested: EEG MRI BRAIN
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Bilateral tubercular infiltrates in apical lobes 1st xray shows scarring bilaterally suggestive of healing of infective aetiology seen in 2nd xray Positive Mt is insignificant Problem of seizures need to workout To r/o primarily is he c/o convulsions or developed after episode of tuberculosis which need MRI brain to r/o tubercular lesion in brain Meanwhile start him tab Levocetam 500mg tds with ATT

Thank you doctor
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X-RAY CHEST SHOWS PROMINENT BRONCHOVASCULAR MARKINGS WITH HAZINESS IN RIGHT UPPER LOBE. B/L PULMONARY KOCH'S MT POSITIVE. SEIZURE DISORDER. RX, START AKT AS PER PROTOCOL. TAKE AN OPINION OF CHEST PHYSICIAN TAKE AN OPINION OF NEUROPHYSICIAN.

Sir treatment 9month for tuberculosis as per protocol
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