C/O: Headache, fever & vomiting

Chief complaint A 29 y/o female presented with the complaint of headache, fever, and vomiting 1 day back. She also had one episode of seizures 2 months back. She also complains of a weight loss of 4 kg in 2 months. History Patient has had on and off headaches for the past 6 months. No other past medical or surgical history. Vitals Vitals are within normal limit. Examination Physical exam shows enlarged left cervical LN. Biopsy shows Hodgkin’s lymphoma Investigations MRI Brains shows left temporal lesions suggestive of cerebral vasculitis. CSF shows mononuclear cells. EEG revealed a left temporal epileptic focus. Treatment Advise the treatment plan.



All symptoms like headache vomiting or episode of convulsions so also EEG supportive of lt temporal lesion and MRI brain showing lt temporal cerebral vasculopathy Cervical hodgkin's lymphadenopathy on lt side compressing lt carotid vessels or kinking of vessels need to be confirmed by MRA We need the opinion neurosurgeon

Thanx dr Pushkar ji Bhomia

View 2 other replies


Tnx Dr Ashok Leel sir

Intracranial pathology. Needs further evaluation of neurosurgeon opinion and management. Till reports complied. Symptomatic treatment.

Thanks Dr Dinesh Gupta

Headache is because of cerebral Vasculitis Migraine headache


Epilepsy with Hodgkin's lymphadenopathy Opinion of oncologist Chemotherapy with epileptic drug

He or she may then have you undergo tests and procedures used to diagnose Hodgkin's lymphoma, including:A physical exam. Your checks for swollen lymph nodes, including in your neck, underarm and groin, as well as a swollen spleen or liver. Blood tests. A sample of your blood is examined in a lab to see if anything in your blood indicates the possibility of cancer. Imaging tests. Your may recommend imaging tests to look for signs of Hodgkin's lymphoma in other areas of your body. Tests may include X-ray, CT and positron emission tomography. Removing a lymph node for testing. Your doctor may recommend a lymph node biopsy procedure to remove a lymph node for laboratory testing. He or she will diagnose classical Hodgkin's lymphoma if abnormal cells called Reed-Sternberg cells are found within the lymph node. Removing a sample of bone marrow for testing. A bone marrow biopsy and aspiration procedure involves inserting a needle into your hipbone to remove a sample of bone marrow. The sample is analyzed to look for Hodgkin's lymphoma cells. Which Hodgkin's lymphoma treatments are right for you depends on the type and stage of your disease, your overall health, and your preferences. The goal of treatment is to destroy as many cancer cells as possible and bring the disease into remission. Treatment-:Chemotherapy Chemotherapy is a drug treatment that uses chemicals to kill lymphoma cells. Chemotherapy drugs travel through your bloodstream and can reach nearly all areas of your body. Chemotherapy is often combined with radiation therapy in people with early-stage classical type Hodgkin's lymphoma. Radiation therapy is typically done after chemotherapy. In advanced Hodgkin's lymphoma, chemotherapy may be used alone or combined with radiation therapy. Chemotherapy drugs can be taken in pill form or through a vein in your arm, or sometimes both methods of administration are used. Several combinations of chemotherapy drugs are used to treat Hodgkin's lymphoma. Side effects of chemotherapy depend on the drugs you're given. Common side effects are nausea and hair loss. Serious long-term complications can occur, such as heart damage, lung damage, fertility problems and other cancers, such as leukemia. Radiation therapy Radiation therapy uses high-energy beams, such as X-rays and protons, to kill cancer cells. For classical Hodgkin's lymphoma, radiation therapy is often used after chemotherapy. People with early-stage nodular lymphocyte-predominant Hodgkin's lymphoma may undergo radiation therapy alone. During radiation therapy, you lie on a table and a large machine moves around you, directing the energy beams to specific points on your body. Radiation can be aimed at affected lymph nodes and the nearby area of nodes where the disease might progress. The length of radiation treatment varies, depending on the stage of the disease. A typical treatment plan might have you going to the hospital or clinic five days a week for several weeks. At each visit, you undergo a 30-minute radiation treatment. Radiation therapy can cause skin redness and hair loss at the site where the radiation is aimed. Many people experience fatigue during radiation therapy. More-serious risks include heart disease, stroke, thyroid problems, infertility and other cancers, such as breast or lung cancer Bone marrow transplant Bone marrow transplant, also known as stem cell transplant, is a treatment to replace your diseased bone marrow with healthy stem cells that help you grow new bone marrow. A bone marrow transplant may be an option if Hodgkin's lymphoma returns despite treatment. During a bone marrow transplant, your own blood stem cells are removed, frozen and stored for later use. Next you receive high-dose chemotherapy and radiation therapy to destroy cancerous cells in your body. Finally your stem cells are thawed and injected into your body through your veins. The stem cells help build healthy bone marrow. People who undergo bone marrow transplant may be at increased risk of infection. Other drug therapy Other drugs used to treat Hodgkin's lymphoma include targeted drugs that focus on specific vulnerabilities in your cancer cells and immunotherapy that works to activate your own immune system to kill the lymphoma cells. If other treatments haven't helped or if your Hodgkin's lymphoma returns, your lymphoma cells may be analyzed in a laboratory to look for genetic mutations. Your may recommend treatment with a drug that targets the particular mutations present in your lymphoma cells.

Looks disseminated lymphoma hogkins Cerebral vasculitis leads the headache and raised ICT

HODGKIN'S LYMPHOMA i think chemotherapy of radiation therapy is the ultimate option.

Epileptic disease. Intracranial pathology. Neurological evaluation. Experts opinion.

Load more answers

Cases that would interest you