Patient with seizures

Chief Complaint A 39 y/o female was brought by the family members with the first episode of seizures. Investigations A CT scan of the brain shows a large mass in the right fronto-temporal region suggestive of a primary tumor. Treatment Should we go for a craniotomy or further investigations are needed?

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Further workout is necessary Large mass is to be identified Ct guided biopsy Eeg Rest biochemistry investigations Malignancy markers Plan accordingly Like Surgical intervention Radiculopathy panetrating guided Chemoradiotherapy If tubercular ATT So workout is necessary Till than put on anticonvulsants

Thanx dr Kute Ankush
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Location of tumor is very important in deciding surgery Deep seated tumor near thalamus, brain stem, surgery can be hazardous However, peripheral located tumor, example near frontal lobe, surgery can be a choice

Describe the radiological features of the mass because as described by Dr. Anand the etiology of mass can be varied.

It was great if you post ct film instead. Any suspected mass lesion in brain need further evaluation preferably non invasive 1st, than with some provisional diagnosis go with invasive procedure. Young pt with mass, presented with seizure 1st possibility is infective 2nd inflammatory 3rd Demyelination 4th Mitotic 1st investigation is godd quality MRI brain with MRS 2nd CSF 3rd on the basis of above two findings may or may not required craniotomy...!!!

Take opinion of Neurosurgeon

Thanks Dr. Kute Ankush ,Dr. Dinesh Gupta
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NEED'S ..CLINICOPATHOLOGICAL EVALUATION WITH.. NEUROSURGEN'S OPINION FOR FURTHER MANAGEMENT..

ADVISABLE 1. M. R. I.... WITH M. R. S 2. C. S. F...INVESTIGATION.. LOOK. FOR ETIOLOGY

Dear Dr. Narendra Kumar Sir, Advice for the case as Ayurvedic System of medicines. Advice for Shirodhara. Tab. Kanchanar Guggul 2 tds. Liq. Kanchanar Quatha 30 ml BD.

Go for craniotomy sir

Diseases Related to Discussion

Radiculopathy