Calcified Granulomatous Lesions of Brain
Whenever an inflammation occurs, the tissue affected respond producing an inflammatory exudate and a granuloma is formed. A granuloma in the brain is nothing but a localized area of inflammation.
This inflammation may be due to some infection, vascular problem, injury or any other trigger.
Products of inflammation are formed there. Inflammatory exudate along with WBC’S, pus cells, sloughed tissue debris etc. is present in the granuloma.
Calcified Granuloma
As a granuloma becomes old, it may calcify. Therefore, calcification of granulomas indicate that they have been there since a long time. This is a natural process.
This can be compared with scar formation, which is easily observed over the superficial wounds of our body. A fresh wound heals slowly to produce a harder covering over it. Under this cover, repair work takes place and new healthy cells are formed.
This is called scar formation, which is similar to calcification of a granuloma.
Possible Reasons of Brain Inflammations That May Lead to Granuloma Formation
- Trauma or injury to the brain
- Stroke or stroke-like episode, which may have caused reduced blood supply to that particular area of the brain. This may have led to infarction. Such a situation is common in people presenting with long standing high blood pressure.
- Infection of that brain area- encephalitis, meningitis etc. as seen in tuberculosis and other infectious diseases.
- Inflammations caused by autoimmune disorders like amyloidosis, rheumatoid disorders, multiple sclerosis etc.
- Any brain tumor
- In conditions like worm infestations like cysticercosis. The eggs of the worm may reach the brain and elicit an inflammatory response there.
Effects of a Granuloma
A granuloma is a space occupying lesion (SOL) in the brain tissue. It presses over the adjoining brain cells. This affects the functioning of those cells.
Depending upon the area of the brain where the granuloma is present, various brain functions may get affected. The affected individual may get severe headaches, nausea, fits (convulsions) or some focal deficit.
Focal deficits may include complete or partial loss of vision, impaired hearing, affected speech or any other body function.
A granuloma may be active or inactive ( also called dormant).
In an active one, inflammation is going on and fresh products of inflammation are being produced. Whereas, inactive granulomas are dormant, showing no activity on repeated CT scans. They are usually calcified and hard on appearance. They do not increase in size. Repeated CT’s may show shrinkage of such lesions.
Management
Since a granuloma is a space occupying lesion in the brain, there are chances that it may press upon the adjoining tissues to produce symptoms.
Therefore, most of the patients presenting with this problem are given an anti-epileptic medication as a prophylaxis. Some patients may require pain medications for headaches or other symptoms they are facing.
The treatment is essentially controlling the symptoms, to start with.
Next step is assessing whether the granuloma is active or not. If active, cause of granuloma formation is investigated and this underlying cause is treated.
It is possible that the infection is still there and actively causing inflammation in the brain tissue. This may be a bacteria, virus or even a parasite. Accordingly, medicines are given to combat the infection.
Anti- inflammatory medicines are given to reduce inflammation and to prevent the granuloma from increasing in size.
Sometimes, if the location of the granuloma permits, surgical excision of the lesion may be done.
Inactive or dormant granulomas tend to shrink in size on their own. Except for symptomatic treatment, no medical intervention is required for them.
Dear Doctor, I have taken tablet for bilateral parietal cortical region showing tiny calcified granuloma- left 3 x 3 mm and right 6 × 7 mm. I don’t have any problem except some tension. After diagnosis, the doctor gave me Albendadole 400 mg/day, Valeptol 300 mg twice a day and Clonozopium 1 mg per day.
After 10 months, as per your advice, I have taken CT scan. But the Granuloma looks the same as earlier. The radiologist told me it is just like a scar and it will continue to be the same. Hence the tablets are not required.
So, now in this situation what can I do? Will granuloma give me any trouble? Is any follow up scan required? If so, how frequently should I get CT scan?
You may stop taking albendazole.
The other two medications are basically anxiolytics. If you feel some tension, it would be better to discuss with your doctor about continuing these two medications.
Granulomas don’t disappear completely. They remain as scar tissues in the brain. They may fade slowly, to some extent, with time.
You may let the scar remain as such. There is nothing to worry. Follow-up scan would be required only if you have any other trouble.
dear doctor,
i have calcified granuloma in brain ,it is necessary to take treatment for that.if i didnt took treatment means what will be the effects to me.i have too headache,vomiting,giddiness,sleepness.currently on fever, sudden fear.
and still idid nt take any medications, my CT report is vertically oval ring like marginal calcification of size 4.4*3*2 mmis seen just below the inferior aspect of 4 th ventricle partly attached to antero inferior margin of cerebellum.No edema/Mass effect due to this calicified lession).
If there’s no edema/ mass, medication is needed only to control your symptoms.
AS PER MY BRAIN MRI REPORTS
There is evidence of calcified granuloma in left frontal parasagittal cortex. It neasures 6.1mm x 3.2 mm in the axial plane
My question is there any risk of my life because i usally get seizure attacks every year get me to my answer doctor help!!!
Seizures need to be controlled to prevent falling or sudden accidents due to it. That’s all. The granuloma in itself is not risky for life.
Treatment mainly aims at controlling those disturbing symptoms. Also, the size of the granuloma would reduce with time as you take treatment.
Sir ,i am suffering from severe headache last three years.doctor says that calcified granuloma in brain.he advised to take topiramate 50 mg taken. But it is repeted headache.please give me suggestion
Topiramate would control any chance of getting seizures, but not treat your headache. You need to talk to your doctor about this.
Is healed granaloma means inactive granaloma
No. An inactive granuloma is the one that is not increasing in size or oozing out any fliud. so, we say that there’s no evident active infective process going inside it. It may still not be completely healed.
While, a healed granuloma may be much shrunken or calcified. It is like a scar tissue.
My brother age 16 suddenly loses his sense for about 2 to 3 minute and we go to the doctor and advice us to do CT Scan and EEG.EEG report is normal but CT Scan shows that there is a old healed degenerated calcific nodule in left superior frontal lobe
Sir pescribed medicines are
1 Torleva 250mg
2 torleva 500
To be taken morning and a night respectively
Sir for how much period tablet should be taken or it should be taken for whole life …?why he become senseless sir is it due to the old healed cacific nodule…?sir is it cureable
His symptom (becoming senseless) is very likely to be due to the granuloma he has in his brain. Most of these granulomas may shrink in size with time to finally almost disappear.
Till then, he’ll need to take this medicine to control any chance of his becoming senseless again. This can be risky. It may lead to a fall or major injury.
Your doctor may call him for annual follow up CT scans, and may also consider reducing the dose of the medicine prescribed.
Dear Sir,
When I was 8 years old (1980), I had headaches, vomiting and my tongue came out. I was taken to a neurologist, who cured me with medications.
Now I am 40 years old. I got CT scan of my brain for some other reason and incidentally found bilateral parietal calcified granuloma.
Do you think it might have formed in 1980 and was not detected because at that time CT scan was not readily available.
I believe that granuloma might have formed at my young age. What’s your opinion?
It is very difficult to comment about the actual time of granuloma formation. All that can be said is that such lesions may be very old.
A calcified granulomatous lesion is the result of an old inflammation in brain. How old that inflammation was is very difficult to guess. It could very well may be a childhood event.
Such inflammations are usually due to infections (like tuberculosis), irritations, trauma etc.
Dear sir,
I have about 1.5 x 2cm size rounded lesion without signal in right frontal region of brain, according to MRI. No mass effect or perilesional edema. Mild perilesional enhancement is present. The lesion has a hyperdense rim on CT, may be a Wall calcification.
Comment on MRI –
Possibly chronic inflammatory lesion – granuloma.
Clinical correlation and follow-up MRI is suggested.
When I discussed with doctor he said he needs to take another MRI after two months. He also gave me folic acid 5 mg; sodium valproate 200 mg twice per day.
Now I have a headache. In 2007 they did a surgery on my neck for Toxoplasmosis.
Is there any relationship with toxoplasmosis?
Thank you.
A calcified granuloma is usually the result of any inflammation that has occurred previously in that portion of the brain.
It is very likely that toxoplasmosis, which you had in the past, is the reason behind it.
Toxoplasmosis is a parasitic disease. The parasites may affect any area of the brain too. Typically multiple ring (concentric) lesions are produced by it in the regions affected.
It would be good to inform your doctor about this past infection.
Dear sir, what is the best thing to do for this? Does it require a brain surgery? Is there any risk of life?
I have headaches and sometimes it’s difficult to breathe. What about the medicine given to me and are there any side effects?
Please sir, your valuable opinion will be very helpful for my future treatment.
All you need is just following it up by regular MRIs. The inflammatory lesion has already healed up and calcified. Intervention is required only if it grows is size or changes in any form.
You can understand it by the example of a simple wound we get on our hand. Initially, the wound is painful and red. This is inflammation. Slowly, healing begins. It hardens up and a scar is formed.
The calcified lesion is like that scar, formed after the acute inflammation. So nothing needs to be done for it now.
Scars may resolve on their own with time, or remain as such. Only if they increase in size, or show any further sign of inflammation, intervention would be required.
So relax for now. Just be watchful for the lesion by getting regular MRI scans.
As for your headaches, it may be a side effect of the medicine (sodium valstal) you are taking. You may discuss this with your doctor.
Dear sir,
What is the time period for taking MRIs. How many days should I take sodium valstal and folic acid.
Sometimes I’ve difficulty to breath. Please give me some advice for that also.
Thank you.
Continue taking the medicines till you go for your MRI follow up.
You may go for your MRI after 2 months, as advised by your doctor. After that, yearly follow ups are recommended.
As far as your difficulty in breathing is concerned, it is unlikely to be related to the brain lesion. The breathing centers are located in the brain stem area.
There may be some problem in the chest. It would be advisable to get investigated for it.
Dear Sir, yesterday I went to meet another consultant neurosurgeon for get his opinion about this.
After checking the reports he 90% confirmed this might be due to toxoplasmosis. He said there are two options for this. First one is taking medicines; other option is go for a surgery. But he recommended the second one because if it is treated by medicines, there remains a possibility for a fit occurring again. So I have to take medicines for life time.
He recommended me to get dilantin sodium 300 mg; folic acid 2 mg per day. He also asked to meet consultant parasitologist to confirm whether this is toxoplasmosis or not.
Please give your valuable opinion.
Thank You.
It would be good to visit a parasitologist and get the diagnosis confirmed first.
If the brain granuloma is active in any way, there is definitely a risk of epilepsy (fits) in future. In such cases surgery may be done. However, surgery in this area is quite difficult.
What kind of surgery is your doctor suggesting?
Dear Sir,
He didn’t mention more details about surgery; he just said we have to remove this by surgery. Sometimes I feel that a seizure is going to occur. I don’t know when and where it may occur again.
Now I have two drugs from two consultant neurosurgeons:
1.Sodium valproate 200mg & folic acid 5md twice per day.
2.Dilantin sodium 300mg & folic Acid 5mg per day.
I want to know which is the best medicine from the two above.
Is there any risk of life with a brain surgery? If yes, what’s your suggestion?
Have you ever had a seizure in the past? If not, it is more likely that you’ll never have them. Stay relaxed.
It is not essential that a granuloma will give a fit. If it is inactive, nothing needs to be done. Granulomas may remain silent and symptomless all life. Just a annual MRI scanning needs to be done, to see if there is any change in it.
Both the medications are almost the same, just the names are different.
Brain surgeries are not easy, as said earlier. You may discuss with your doctor about the type of surgery he wants to do and the risks involved. Go for it only if no other option is left.
Currently I’m using dilantin sodium 300 mg and folic acid 5 mg.
Now it’s difficult to sleep at night and difficult to breathe sometimes.
I find it difficult to watch TV and use the phones. There is a loss of energy and body balance.
Is this due to above medicines or brain granuloma?
You need to talk to your doctor, who has prescribed you these medicines, about your symptoms.
The symptoms may be due to the medicines. Evaluation is required to find the exact cause.
My sister got her CT scan report with old healed granuloma in left parieto-occipital sulcus in brain (7.6*4.8*6.6) suggested betacap tr40 + amitor 10. Is this curable, how long she should take tablet.
Is the granuloma active or silent?
Though old granulomas usually remain silent, they may sometimes flare up. An activity in a granuloma can be a cause of worry.
You need to keep an eye over the granuloma on a regular basis (annually) by CT scanning.
Of the two medicines your sister is taking, one is a steroid and other is a mild anti depressant. It would be better to continue with the medications. The steroid depresses the activity of the granuloma and prevents any flaring up. Taking a mild dose of both the medications is desirable.
The medications can be tapered or stopped only if you are sure that her granuloma is silent, without any activity.
I met parasitologist and she confirmed brain granuloma is due to toxoplasmosis. Now I’m taking pyramethamine, sulfadiazine and folinic acid. She told this must be continued at least 6 weeks.
But the thing is still I have breathing problems and difficult to sleep. I met another two specialist and they checked my chest, neck and abdomen by taking x-rays and scans and told me everything is fine. But still my breathing problem is not cured.
Please advice about this situation and is sleeping difficulty due to breathing problem.
Thank you.
Disturbed sleep may be related to difficulty in breathing.
Bring to your doctor’s notice that you have difficulty in breathing. This doesn’t look related to your medicines. Do you have any other problem like sinusitis, cough or allergy.
This problem needs to be dealt separately.
My son, Tejas, 13 years getting convulsions and we admitted in hospital. EEG report is normal, CT scan report shows multiple granuloma (edema). Now tablets taken oxetol 300 mg, doctor mentally I am depressed because in future it is big problem or it is permanently curable. Please suggest me and which type precaution required.
Firstly, continue taking the medicine. This is very important.
The condition may be treatable. Granulomas are just a sign, caused by some underlying medical condition. Read above about the different conditions that may lead to granuloma formation in the brain.
The underlying medical condition, which may be some infection, any autoimmune disease etc., needs to be detected and treated.
For that, your son requires a thorough check up and evaluation.
Commonly, such granulomas are caused by parasitic infections, which enter our body through improperly cooked non vegetarian food. So, as a precaution, you may switch your child to vegetarian food till he gets alright. Vegetarian food is less complex, has more healing value and is free from most parasitic infestations.
Include plenty of cooked vegetables and fresh fruits in his diet. Let him have plenty of water. This would surely help.
Dear sir was told that I have degenerative disc problem in the X-ray. I was taking medicines from homeopathy doctor but there was too much stiffness and head ache so I scan my brain and the CT findings were suggestive of old calcified granuloma in right parietal region. Please tell, I am in trouble.
If your X-ray is suggestive of degenerative changes, your back needs to be evaluated more. Your symptoms may be due to your back problem.
Degenerative changes are common, especially after an age. Patients usually complain of backache, stiffness and limitation of movements. Read more on degenerative problems of the back.
As for the calcified granuloma, it has to be ascertained whether this granuloma is active or not. Only if it is active, it can trouble you and give any symptoms.
Sometimes, a long infectious disease in the past can result in the occurrence of such granulomas. With time, these lesions become calcified and stay silent (dormant). They may remain as such, without causing any trouble, for years.
As per previous MRI report, I took another MRI/MRA yesterday. But they said they can’t say anything from that scan. They need to get another scan called MRI/MRV. I have no clear idea about this. Please help. Thank you.
MRV is a kind of MRI, used to visualize the veins of an area.
Your doctor wants to assess the condition of blood circulation of the affected area of the brain. He may be suspecting some obstruction due to disease process or any blood clot.
(MRI – Brain +MRV) Report
There is small abnormal signal intensity lesion, measuring 1.2*0.6 cm in size seen in posterior aspect of right inferior temporal gyrus.
On T1W sequence, there is high signal intensity foci seen within the lesion. On T2 high signal foci are seen within the lesion. Also seen few dilated veins converging centrally. The lesion represent the appearance of an umbrella. On MRV there appear to be abnormal vein draining towards the lesion.
No evidence of thrombosis of major venous sinuses. No similar lesions area seen in the rest of the brain. No other abnormal signal intensity lesions are seen in the cerebral hemisphere, cerebellum or brain stem. The ventricular system is normal. No mid-line shift. Corpus callosum and gland are normal. Both orbits are normal. Bilateral maxillary sinus are unremarkable. Incidental … chonca ballosa is seen on right side.
Impression:
Features are suggestive of a venous malformation (venous angioma) in right temporal lobe, with previous hemorrhage within it.
Sir, this is my new report. I would like to know details of this report my current situation by comparing my previous MRI on April. Sorry, there may be some spelling mistakes in this report. Thank you.
Your question has been answered here.
Dear Sir, but Parasitologist said there was a small issue in venous system. Now it is working properly. She also said don’t stop taking drugs for toxoplasmosis.
Is venous system malformation due to this treatment or other reason.
Take it as two different lesions, one calcified granuloma and one venous angioma.
For treating the calcified granuloma, continue medication for toxoplasmosis. That should be adequate.
For the venous angioma, you need to consult a neurosurgeon and seek his opinion. Most of such lesions are benign and do not cause any harm. In such cases, they are left as such. Nothing is done.
In cases where there is a risk of hemorrhage, B.P. is regularly monitored and kept under control.
Only sometimes, the doctor may want to obliterate the malformation by direct intervention.
Now I’m experiencing some difficulties in my head. Sometimes I feel something is running in my head with headache. But it remains only for a few minutes. My doctor says this is a result of injecting dye for getting MRI. Is it true?
It may be the dye. The effect of the dye may stay for 3 to 4 days.
If your symptoms continue even after a week, report to your doctor.
DEAR
SIR PLEASE GIVE ME BELOW QUESTION ANSWER
WHAT IS DIFFERENCE BETWEEN GRANULOMA AND BRAIN TUMOR AND WHAT IS THE EFFECT IN BEGIN?
Your question has been answered here.
Dear Sir, I took MRI on 24th June. But previous mentioned symptoms have been occurring from about 2nd July. But my parasitologist is telling the toxoplasmosis drugs are difficult I said about the dates but she is telling the dye is still in the brain and we couldn’t guess about life time of dye. Most of time I’m feeling something is happening or something is there on my chest very close to heart area.
On previous MRI there was only one lesion (Calcified Granuloma). But on new report there are two lesions (Calcified Granuloma, Venous Angioma). I need to know how Venous angioma is indicated on new report. Is this due to toxoplasmosis treatment or there was Venous angioma on previous MRI but it was not detected. I told all these things to my parasitologist, but she isn’t considering this as a serious case. Please explain about mentioned things. Is this a serious situation? Thank You.
Since you have no serious symptom, this doesn’t appear to be a serious situation.
Just stick to your treatment for toxoplasmosis.
As for the venous angioma, it is unlikely to be caused by the treatment drugs. Since the MRV has shown an intracranial hemorrhage as well, this lesion appears to be old. It is unlikely to be very recent.
For this lesion, you need to go to a neurosurgeon with your MRV report and discuss its outcome. However, it doesn’t appear to be serious.
Sorry. I’m feeling something is happening or something is there on left side of chest. But there is no pain. Thanks.
You need to be objective in the perception of your symptoms. If there is no pain or any other perceivable symptom, just be relaxed.
Dear Sir,
Now I’m having some new symptoms. My blood pressure is rapidly increasing. (24th June 122/80, 07th July 130/80, 11th July 140/90). I’m feeling some pressure like thing on my eyes. Sometimes small part on my left side of chest is moving like up and down for about 10 seconds. Feeling some difference on my chest on left side. I’m feeling some pain on back side of my shoulders. I’m feeling some weight on my head but it’s not headache that occurred before. I feel sometimes I’m mentally confused. If I started to do something then I want to stop it. But my mind is telling no I want to continue it. As a example I started to drink glass of water, OK now my thirst is over. But my mind forced me, no you must drink more and more.
Talk to your doctor about these blood pressure readings. It would be better if he can put you on some low dose anti hypertensive drug.
I told all these things to my parasitologist. But still she is telling these things due to contrast dye, no other reason for this. Also, she told me not to consult another doctor about new symptoms, I will look after you. Today she increased the dose.
Please advice me. Is there any risk in heart or kidney failure? Should I check those organs? I have a fear about new symptoms. Thank You. Please advice me. Thank You.
No, there is no risk on the heart or the kidney. It is alright if she is taking care of you.
The doctor who is seeing you physically knows the maximum about your health state. Just keep her informed about all your complains.
Today my stool is also black. I saw this on some days within last two weeks.
For your kind attention: I’m taking Orofer Syrup two table spoons once in three days from May 2013. Thanks.
Orofer syrup contains Iron and Vitamin B12. It is good for you. It enhances the health of the nervous system.
Dear Sir,
Today I discussed with my doctor (Parasitologist). She said medicines couldn’t reach to lesion because still contrast dye is in veins and they are blocking it. So she increased my medicines about two times from previous dose.
Also said the reason for increasing blood pressure also due to contrast dye. Blood circulation in brain is blocking by dye and so to circulate blood from that area it will go through that area on high pressure and therefore blood pressure is continuously increasing. Please explain me about these things. Thank you so much.
You require to keep your blood pressure under control. Under no circumstances can the blood pressure be allowed to increase continuously. This can be hazardous and may lead to intracranial hemorrhages.
Contrast dyes used for investigating purposes are usually washed away in a week’s time.
What is your neurologist’s/ neurosurgeon’s opinion about your case?
My parasitologist is not allowing me to consult my neurosurgeon or another physician. She is the only parasitologist for toxoplasmosis in here. So I can’t go beyond her words.
That is why I’m asking everything from you. You are only person who can help me and can trust. Thank you so much for your valuable advices.
Sometimes I feel big difference in my head and that time my eyes and ears also feel some difference than normal times. It’s difficult to lie on bed on that time and if I did that I feel headache like thing and I’m breathing than normal speed. What should I do sir?
Get your blood pressure checked up. If it is high on a constant basis, you definitely need medicines for it.
A low dose antihypertensive would be essential. Your symptoms also point towards it.
Today I am admitted to hospital. They are testing my blood and urine. Sir, now my blood pressure is fluctuating. Sometimes BP is 120/80, but after few minutes it goes to 155/100. Before my pain was on whole head. But now I’m feeling it only for left side and I’m feeling more pressure on left eye. Still they have no clear idea about this situation. Please help.
Your doctors have to manage this fluctuating blood pressure and the pain in the head, which seems to be linked with it.
Variability in blood pressure is common. Getting a normal reading at a time does not mean that your B.P. is under control.
The high surge in blood pressures cannot be ignored. These surges usually coincide with periods of headache.
Patients with variability in blood pressure are prone to strokes. So, there is a need for 24 hour monitoring of B.P. and prescribing some medicine that can assure no high surge in B.P.
Read in detail about fluctuating blood pressures.
Neurosurgeon suggests to go for a surgery. Is it necessary sir and how about the risk. Thanks.
Difficult to say!
What is his diagnosis? What kind of surgery is he planning, is it a drainage operation, where the hematoma/ fluid present in the brain is drained, or excision of the SOL (space occupying lesion) you have?
All surgeries in the brain are difficult and complicated and do carry certain risks. However, if the doctor is sure that this is the only way to alleviate your symptoms, you may opt for it.
Discuss the operation in detail with your doctor and then decide.
As I understand neurologist told infected cell are died and so there is a drainage towards it. So he suggest a surgery.
But my parasitologist are saying there is no need to go for a surgery. She can cure the lesion with toxoplasmosis treatment. But she is telling however, I need to solve new situation by consulting another doctor.
Now my blood pressure is continuously fluctuating and there is some changes in my heart beat. Also there is pain in my chest.
Today another doctor came to see me and he said we want to do a 24 hour urine test for check blood pressure. I think he might be a GP.
Are they suspecting for Pheochromocytoma. Please now I have some fear about my situation.
Please I’m waiting for your valuable opinion. If I’m suffering from that disease what is cause to that and is it to related to Toxoplasmosis drugs. How about the treatment and risk. Thank you.
Your doctors are trying to investigate the reason behind this fluctuating blood pressure. So, they are going for a 24 hour urine test.
Fluctuating blood pressure can be due to many causes, like, certain kidney diseases, Pheochromocytoma, cardiac reasons etc. Your doctor wants to rule them out.
However, it is very unlikely that you have Pheochromocytoma or any of the causes mentioned above. B.P. fluctuations in your case appear to be due to the SOL you have in your brain.
Treating this SOL, either by surgery or by medicines, would solve all your problems.
Sir, I would like to cure my lesion by toxoplsamosis drugs rather than surgery. As your instructions, there may be risk in brain surgery. So can we treat all this complications through T drugs. Thank you.
Whether the situation can be dealt totally by drugs or not has to be assessed.
Brain surgery is not done until it is very necessary.
For the toxoplasmosis infection, you will require medications that would act on the parasites to kill them.
This parasite has nested in some parts of your body, like the brain. In their nest, it is possible that they have produced pools of infected fluid, mixed with dead cells, dead parasites etc.
Your neurosurgeon may opt to drain such pools, as these pools put pressure on the surrounding brain tissues and produce symptoms.
Sis ATL 86 , ASL 42 U/L Serum. Doctor said these values are too high.
Your liver enzymes are high. You may use our lab checker for ALT levels and AST levels for further references.
High value of liver enzymes suggest some significant load on the liver followed by some liver tissue damage. This may be due to the infection or as a side effect of the medicines you are taking for toxoplasmosis.
Most of the drugs prescribed for toxoplasmosis are hepatotoxic in a long course. Overdoses should not be taken, the prescribed dose is alright.
After one week they discharged me. But they didn’t give medicines for me. Did some blood and urine test. Urine for VMA result is still pending and other reports had no problems.
There were two neurosurgeons and 5 doctors. All of them said there is no need to go for a brain surgery. Take medicines for toxoplasmosis as prescribed.
They also said the reason for fluctuating blood pressure, pulse, pain in chest and shoulders backside and other symptoms is due to Anxiety. So there is no need to take medicines.
Sir, please explain. Thank you.
It would be good to go with your doctors, who have thoroughly examined and investigated you during your hospital stay.
Just take the prescribed medicines for toxoplasmosis and stay relaxed. Blood pressures do vary greatly with stress and anxiety. Things will improve with time.
Sir, they assumed all those new symptoms due to anxiety. But they didn’t give medicines or instruction to minimize this situation.
Is it necessary to do a test to confirmed that and how can I control that situation. Please advice.
Controlling the symptoms would be better. You may talk to your doctor about taking any mild anti anxiety medication.
Also, keep monitoring your blood pressure on a regular basis.
Dear sir, I’m 30 yrs of age. Before 3 yrs I have a feed in CT scan of my brain. It showed one spot in right side and I’m taking eptoin 100 2 time daily and polybion and now I have done MRI like old healed granuloma was found so how long I have to take medicine because I have to join merchant navy so what I will do.
Polybion is a vitamin pill, good for the brain. You may stop taking it any time.
However, you need to be cautious with eptoin. This drug controls the brains activities. It has phenytoin as its active component.
This salt controls any high activity going on in the brain. It is given to check against any chance of seizures, especially in patients with brain granuloma.
So, you have to discuss with your doctor before leaving this drug. Never leave it without the supervision of a doctor.
If your granuloma is active, the medicine is required. However, if it appears to be inactive on repeated examinations, the drug may be slowly stopped.
Sir, I am 31 years old, I’m suffering with fever from 10 days. In that fever severe headache comes. My doctor had advised for CT brain..in the report calcified granuloma involving left frontal region is reported. My doctor is giving treatment for only fever. Now fever is controlled. For granuloma, Dr gave tab pregabalin 75mg..headache also controlling..but doctor any problem with granuloma and please tell me treatment for granuloma..thank you sir.
You are under the right treatment regimen. Pregabalin is given to control to your headaches, as well as to check any possibility of onset of seizures.
As you may read above, a granuloma is the result of a localized infective/ inflammatory process in a portion of the brain.
You may understand it like a wound. Just as, when you get hurt somewhere, a wound is formed as a result of inflammation. Slowly, it gets alright and gets converted into a scar.
The granuloma follows a similar course. Once formed, it slowly gets resolved on its own. We cannot intervene directly in the area.
However, symptoms likely to be caused by it need to be controlled. The granuloma is a SOL (space occupying lesion) and may press upon the adjacent structures. When it presses upon the nearby nerves, headache is caused.
Also, it may potentially give rise to temporary fits or seizures.
My daughter has been diagnosed with calcification of the brain. She is 39 years old and is currently waiting to see a neurologist. She has co planned of the fact that one of her eyes feels like it is being pushed out and has general lethargy. What treatment might she be given, I know that there is no cure. Also will the condition get progressively worse.
Her exact treatment would depend upon the cause that lead to calcification in her brain. Your neurologist has to investigate it.
You may read above about the various causes leading to brain calcification and their complications.
Doctors usually give an anti-epileptic to cover any chances of seizures, which are common with this condition.
With treatment, the problem is unlikely to increase or grow in future. It may gradually get better.
Dear sir, 30 yrs old. I had vascular headaches 5 year back and taken treatment from the neurologist. But it started again on the complete left side of the brain, met the ENT surgeon. He has advised to take some migraine tablets and also the brain CT Scan. The scan results shows 3mm calcified granuloma on the right side of the brain and sinuses are clear. I have high myopia (-13 and-10 power) and using glasses since 20 yrs. So my questions are 1. Whom should I show the scan report ..the ENT surgeon or neurologist.
2. Is this headaches because of high myopia. Please suggest.
A neurologist would be a better person to deal with your problems. Since there is no problem with your throat and sinuses, your ENT would not to able to help much.
You have been having high myopia since last 20 years. Headaches are a recent occurrence. So it is unlikely to be a cause. You may anyway get a eye test repeated just to be sure.
Granulomas don’t cause trouble unless they are active. As you may read above, granulomas are basically foci of inflammation or infections in the brain. They are commoner in people consuming non vegetarian food.
Your granuloma looks old and inactive, as it is calcified. No intervention is therefore required.
One sided headaches are commonly migraines. Let us know more about your headaches- severity, time of occurrence (early morning or evening, any stimuli linked with it?), any other symptom like nausea etc. linked with it?
Hi sir, thanks for the quick reply. Last week itself I have done with eye check up and the power is contact from last 8 years. Secondly, with respect to headaches it’s mild in the morning and high during the evening with nausea (today is better as had check up yesterday). And I am vegetarian.
Your headaches are likely to be migraines. What treatment have you been prescribed for it?
Also, get your evening blood pressure check up sometime, just to rule out any possibility of high B.P.
My sister is suffering from severe headaches on the right side since last 6 months almost everyday. They migrate from behind to the forehead. There is no vomiting, aura, fever. She has tremors in hands.
Doctor advised her contrast CT scan which showed a 8×5 mm calcified lesion in left high parietal region. Rest was normal.
She also remains stressed.
Are this lesion in the brain significant? There is no history of trauma!
Brain lesions which are calcified, are usually old and dormant. They do not cause any symptoms.
Your sister needs to be evaluated further. These migratory headaches are likely to be migraines or tension headaches. Migraines can be with or without aura.
Migratory headaches are also seen in a condition called brain aneurysm. Here, a portion of a blood vessel supplying the brain is swollen. The condition is detected after vascular studies.
However, you may get a CT brain done for her on an annual basis, just to observe if the calcified lesion is increasing in size. If the lesion is growing and is active, it may require treatment.
After CT scan, a small healed calcified granuloma was found in the right parietal lobe and another in left frontal region. I was advised eptoin and zen retard which I took for almost a year but the pain was continuing regularly for 45 minutes. I was again advised to have an MRI with contrast by another doctor in November 2010 which said perifocal edema and significant enhancement on post gad images small calcified granuloma (neurosynctuc). But slowly the pain stopped and I too stopped taking medicines. Meanwhile I used to feel heaviness in head sometime but didn’t feel pain for almost last one year. But for last four days I felt the same horrible pain. What could be the reason for this pain coming back?
Are you still taking those medicines?
Both, eptoin and zen retard are anti-epileptics. They are given as a precaution against the occurrence of any seizures or fits, that may sometimes happen in patients with brain granulomas.
These medications do have their side effects on long term uses. They include, headaches, nausea, constipation, trouble sleeping. Swollen or bleeding gums is another common problem with these medications.
Your headaches may be due to the granuloma or a side effect of the medicines you are taking.
Your granulomas need to be investigated further. What is the cause of these granulomas? Are they inactive or show some signs of activity?
No, I am not taking those medicines. Actually I had got a wound in my head from an electric pole in 2006. It was terrible but blood didn’t come. After that, I was getting pain continuously. Some doctor initially thought that blood would have got clotted inside the brain and that is causing pain. But after some time I was asked to have an CT Scan and the granuloma was found inside my brain. After my CT Scan and MRI, Doctors never believed that the pain is because of the wound. I had got but the pain is there only after that wound I had got. What type of investigation needs to be done?
Blood clots usually resolve with time on their own. It is unlikely for an old clot to give you symptoms now.
A closer eye on the granuloma is needed. We need to know the cause of the granuloma and whether it is active or not. An active lesion would grow in size or have signs of inflammation (edema, fluid) around it.
You need to talk to your doctor about it.
Dear Sir, I am suffering with breathless, tiredness in head, depression since 20 years. I went for MRI and diagnosed as CALCIFIED GRANULOMA – LEFT PARIETAL LOBE. Kindly show the solution.
This granuloma would give you symptoms only if it is active. Many a times, a granuloma may lie in some part of the brain in dormancy, without causing any problem.
Is your granuloma active?
Depression is unlikely to be due to the granuloma. This needs to be managed and treated separately. You need to go to a doctor and get medications for this.
Sir, I am taking treatment for occipital granulomatous lesion in left occipital lobe. For the 1st 2 months I took
1. zentel(400mg)
2.wysolene
3.levipil 250 and 500mg as a course.
Now I am taking only levipil250mg in the morning and 500mg at night.
Can I get rid off this problem permanently after completion of my treatment?
Is there any scope in getting the same problem in future even after taking medicine?
What are the problems I can face bcoz of this in future?
I am a bright student in my college days but I can’t remember things for long time and this problem is increasing day by day (now i am 26yr old).
If I see laptop continuously for 2 to 3 hrs I get headache immediately and it lasts after long time. Some times I get severe headache also. Is this related to my problem? Can I overcome this problem after my treatment.
I am waiting for your valuable reply.
You may continue with zentel tab for some more time. This will help controlling your headaches. Discuss this with your doctor.
When you hurt your hand or any other part of your body, an injury is formed that heals gradually by scar formation.
This scar is comparable to a granulomatous lesion in the brain. What was the injury that lead to this scar formation is usually undetectable. It may have been an injury, a parasite or some infection.
Yes, most of these lesions are treatable and don’t disturb later in life. Active granulomas need treatment. Complete your treatment and go for a follow up brain scan to see the status of the lesion.
As a scar gradually dries up and fades away, these granulomatous lesions also dry up and gradually fade away.
If this is not happening, may be the infection or the parasite causing the lesion is still in your brain and requires treatment.
Sir, recently my brain MRI was done and it showed a calcified cysticercus granuloma in right frontal parietal region. I’ve been experiencing psychiatric problem like depression, anxiety and sometimes I feel something a pin type sensation in that region. Is that due to the granuloma? Doc said it is nothing but just a scar and it is an accidentally finding, but still I am feeling problems.
The depressive or anxiety states you are facing are unlikely to be due to the granuloma. This is a separate problem and needs to be dealt separately. Anti-depression medicines are available for this.
Your calcified granuloma is like an old scar in all likelihood. It appears to be inactive and no medical intervention is required for it. If it were active, you could get symptoms like seizures, headaches etc.
Sir, I want to know that the difference between calcium shell and calcified granuloma? Can calcified cysticercus granuloma cause mental retardation or dementia type symptoms?
A calcified granuloma is unlikely to cause mental retardation or dementia.
Granuloma is like a scar you get anywhere else on the body. Such lesions press over surrounding brain tissues. They give symptoms like fits, severe headaches, sudden loss of vision etc., depending upon the affected area of the brain.
Sir, is calcified granuloma as hard as a bone? Can calcified grabuloma be considered as a bone?
Calcified granulomas are hard, though not as hard as a bone. The main difference between a bone and a granuloma is in the structure. Bone structure is composed of crystals and is very organized. It is made up of calcium, phosphorus, magnesium, protein molecule etc. They make up a hard and strong structure.
Whereas, granulomas are irregular. They are formed when calcification occurs in soft tissues, like that of the brain.
Sir can calcification in the brain cause psychiatric illness?
Calcification in the brain may lead to mental illness, exact symptoms depend upon the area of the brain affected.
Different areas of the brain control different functions/ faculties. When calcification occurs in some particular region of the brain, the functions controlled by it get affected.
The psychiatric illness as I am having is due to that granuloma or calcification?
Earlier you mentioned that you are having depression and anxiety. Those symptoms are unlikely to be due to granuloma. These symptoms are very common even among otherwise healthy individuals and may occur simultaneously with the other conditions. Medications are easily available for their treatment.
Sir can you tell me the symptoms of psychiatric illness due to that granuloma or calcification in brain? I feel some sort of defensiveness, easily distracted, emotionally uncontrolled, unable to memorize things that occur recently, unable to take decisions.
Sir, can you tell me the symptoms if calcified granuloma is found in the region as I have?
Sir I wanted to know that do I have any psychiatric problems with this calcification?
The exact correlation of psychiatric symptoms with the actual location of calcification can be done only after a careful physical examination and analysis of brain scans by a specialist. Only then it may be said whether the psychiatric problems are related to the calcification or occurring independently.
Sir, may I know the symptoms of psychiatric illness when calcified cysticercus granuloma is detected in the location as mine, i.e in right frontal parietal region?
As replied earlier, you need to get a direct physical examination and thorough brain scan evaluation by a specialist.
Sir, does calcified cysticercous granuloma cause mood swing? I have been diagnosed with a tiny hypointense calcified cysticercous granuloma in right frontal parietal region of brain. My mood swings very much. Sometimes, I feel nervousness unnecessarily, sometimes I feel aggression on no matter, depression. Unable to listen or concentrate on what is being explained. Is that due to granuloma sir?
Mood swings are commonly due to chemical imbalances in the brain. It is very unlkely to be due to the granuloma, since it does not secrete any chemical.
You need to visit a specialist doctor. There is medical help available to manage mood swings.
Sir, will my granuloma disappear?
In a normal course, granulomas tend to shrink in size, just as a scar does anywhere on the skin.
Your granuloma is likely to reduce in size with time. You may go for follow up scans on an yearly basis to assess the situation.
Sir but doctor said that it will be there forever..will it disappear completely??
It is unlikely to disappear completely. Such lesions gradually reduce or shrink with time.
Sir, doctor prescribed me a tablet named sibellium. He told me that it is a calcium channel blocker. Why did he prescribed me it? What is the use of this medicine?
Probably as a prophylaxis against headaches or symptoms of central vertigo.
Did you tell him about any headache or dizzy feelings you are having?
This medicine also works as an anticonvulsants. Since patients with active granulomas are prone to fits, this medicine may be prescribed as a prophylaxis against it.
Sir…i have not got my answer yet
We are sorry for the delay…, please see your answer above.
Sir. I’ve done my MRI second time. First time it hypointense calcified cysticercus granuloma nodule in right frontal parietal region of brain, but second time it didn’t showed that granuloma. Is it totally disappeared?
It is possible that it has shrinked considerably and is not showing up again.
You may stop worrying about it now. Get one more MRI done after 6 to 8 months, just for follow up purposes.
Sir, does the presence of granuloma in brain may cause attention deficit hyperactivity disorder?
The exact etiology of attention deficit hyperactivity disorder (ADHD) is not known. However, many factors have be observed to be closely associated with it. They include genetic factors (running in families), consumption of alcohol or smoking during pregnancy, too much of artificial food with preservatives, too much exposure to rapidly changing screens (as in video games).
However, some cases of brain injury and illnesses have also been seen to be associated with ADHD. Both, minor brain injuries and illnesses, may produce granulomas. So, at least theoretically, granulomas may be associated with ADHD.
Sir, can you tell me about this disease (ADHD)? What are its symptoms and treatment? Can it be cured? How is it diagnosed?
Here is a detailed article on ADHD.
Sir, if this disease is found to be due to the presence of granuloma then what would be the treatment?
You need to make sure if it is due to the granuloma.
Is your granuloma active?
Treatment of granulomas depend upon their cause, which can be infective, traumatic or vascular.
Sir, doc said that my calcified cysticercus granuloma in brain is an accidentally founded granuloma. He ignored it..but as u said that ADHD is associated with the granuloma.
It is very unlikely for an inactive granuloma to be causing ADHD. Such granulomas lie dormant, just like a scar anywhere else in the body.
There are many other causes that can lead to ADHD symptoms.
Dear Sir,
This my latest MRI report ( 07-03-2014).
MRI SCAN OF THE BRAIN
T1 FLAIR axial, sagittal, T2 FLAIR axial, FSE axial, sagittal, coronal, DWI, T1 axial, sagittal and coronal with I.V Contrast.
INDICATION : Treated for Toxoplasmosis
comparison was made with the previous study done in April 2013. The previously known lesion in the right parietal region demonstrate high signal intensity on T1 weighted images. On the T2 weighted images a hemosiderin rim surrounds the lesion. Following contrast no enhancement of the lesion seen but an enhancing vein is identified. The size of the high signal intensity is reduced now measuring 6.2*5.8*5.2 mm as opposed to 2*1.5*1 cm? Development venous anomaly with resolving hemorrhage . Co-existing toxoplasma lesion is not excluded.
No similar lesion seen in the rest of the brain.
The grey white differentiation is maintained.
Diffusion weighted images are negative for acute infarcts.
The ventricular system and cerebral sulci aqe of normal size.
The signal intensity of the neuro hypophysis and adenhypophysis remains normal.
No enlargement of the pituitary gland.
The cavernous sinuses show no enlargement or abnormal signal intensity.
Both internal carotid arteries are patent.
The globes of both eyes both optic nerves, both superior opthalmic veins appear normal. Optic chiasma is of normal size and signal.
The cerebellum, tectum, tegmentum, pons and medulla oblongata show no areas of altered signal or enhancement.
No tonsillar ectopia. No apparent cranio-vertebral junction anomaly.
Para nasal sinuses are clear.
Sir, Please check and explain my current situation.
Is my condition better than previous or not? Thank you.
As compared to your last year report, the lesion is much reduced in size. This is a clear sign of healing.
It is very likely that it further reduces and shrinks with time.
Thank you so much for you valuables advices.
But my doctor said, lesion has been surrounded by rim & toxoplasmosis drugs cannot be reached to that location. Therefore she told me to stop taking drugs for toxoplasmosis.
So is there any risk with my lesion because i don’t take drugs as doctors advice.
There are another issue & that mentioned about enhancing a vein.
Thank you.
May be the lesion is now surrounded by thick scar tissue. There is no point taking the toxoplasmosis medicine if it is not reaching the lesion.
The lesion/ scar is likely to further shrink in size in due course of time.
The finding about enhanced vein is not very specific. It would be difficult to comment on it.
My mother suffering problem. As per CT scan report- impression: finding suggest calcified granuloma right parietal region.
What symptoms does she have? Was this an accidental discovery, or you went for a CT due to some symptoms?
I am having calcified granuloma in brain at right occipital lobe and I got seizure nearby 2 years ago and approx 9 months I took medicine and after that I left medicine and up to now no seizure. So now what should I do? Should I continue or anything else? Can I get seizure in future? If yes, then how can I control that?
All you need to do is to assess or monitor the status of your granuloma.
An active granuloma can any time give symptoms. It may cause you headaches, visual problems or even seizures.
However, most of the granulomas heal by themselves in due course of time, just as an injury anywhere on the body heals by scar formation. The scar may shrink in size to almost disappear with time.
Assessment of the granuloma is made by follow up CT scans, done in every 6 months.
Sir, due to heavy headache in the frontal part of brain and backside, I have consulted a doctor and before one year I was operated for and sinusitis. From past 6 yrs, I have been advised flunarizine and tryptomer with variation of dosage and pain killer naprosyn. DUE TO SEVERE HEADACHE MY DOCTOR HAS ADVISED FOR CT SCAN THE REPORT CONCLUDES “CALCIFIED GRANULOMATOUS LESION NOTED IN POSTEROINFERIOR PORTION OF LEFT PARIETAL LOBE OF BRAIN” SIR MAY I KNOW WHATS THAT ND REASONS FOR THAT. ND I HAVE PAIN IN D FRONTAL PART OF HEAD ND BACKSIDE ALONG WITH NECK ACHE .THANKING YOU SIR
Is your headache relieved after the surgeries you underwent? Do you still have any symptoms? Why did you get yor MRI brain done? Was the granuloma an accidental finding?
It is very likely that your frontal headaches were due to sinusitis.
The calcified granuloma is likely to be a dormant lesion. You may take it as an old scar tissue, produced in response to some injury or infection in that area.
If this granuloma is inactive, and is giving no symptoms, no medical intervention is required. Nothing needs to be done.
However, if the lesion is giving you some trouble, or you notice it to increase in size on follow up U/S, medicines would be required.
My daughter is 13 years old. In CT Scan report it was mentioned that:-
” Focal areas of calcifications right frontal and left parietal region-? Calcified Granuloma”
Please advise what should I do?
What are her symptoms? What made you go for the CT scan?
These focal areas of calcification in the brain may be taken as different foci of brain tissue irritation or inflammation.
This may be due to some infection, parasitic infestation, or some vascular problem.
Non vegetarian food, if not properly cooked, may carry parasites that reach the brain tissue to produce such lesions. You may shift her to vegetarian food for some time.
She needs to be followed up by an expert neurologist, to control her symptoms and decide the treatment protocol.
Dear Doctor, I got Calcified granuloma in Lt frontal lobe.
Two times I felt down. I felt down first time with unconsciousness, second time with consciousness. With doctor’s suggestion, I am using T Levera 500mg 2 yrs course.
I would like to know when I stop my course and what are the effects of Granuloma.
A granuloma is a scar or wound like lesion in the brain. There are chances that it may press upon the surrounding brain tissue.
This pressure may give you headache or even fits (convulsions). Levera is being given by your doctor as a precaution to control any chance of fits/ convulsions.
If you are alright since 2 years, that is you didn’t have any fit, you may wean off the medicine. However, it would be better to discuss this with your doctor, who has prescribed you this medicine. This is so, because he knows your case history well.
Doctor, last year I had mind tension continuously. So I went to a neuro doctor. He advised to get a brain CT scan. The report showed the following: 1) Bilateral parietal cortical region show tiny calcified lesion/granuloma (right 7 x 6 mm and Left 3 x 3 mm without edema). 2)Left Maxillary polyp and sinusitis. Rest was all OK.
The Doctor gave
1) Albentazole 400 mg- 1/day
2) Valeptol-cr 300 mg- 2 /day
3) Clonazepem1mg – 1/day
For last 9 months, I have been taking the medicines continuously. But still I have some tension. Every 3 months, I discuss with doctor through phone. He said that I need to take tablets for a year. Then again a CT Scan will be done to decide further. But now, in the evening time, I am very tired. So, can I stop the tablet? Is the calcified lesion getting cured? Is there any relation between my tension with it? Because one of the doctor said that 20% people have granuloma and there is nothing to worry. Please clarify.
Your doctor has given you a medication against worms (albendazole). May be, he is suspecting worms to be the cause. The two other medications are anxiolytics, basically.
It would be better to continue with these medications for the prescribed time. A fresh assessment according to the results would then be required.
Sir, yesterday while sleeping my sister screamed and went unconscious (might be fit). This was the first time ever she got a fit. We rushed to hospital and doctors took her for CT scan immediately and the report is as below, please let us know if it is something very serious;
1. an approx 8×6 mm dense calcification is seen in left high parietal lobe. mild surrounding white matter hypodensity is seen – suggestive of white matter edema / gliosis.
2. rest of cerebral parenchyma shows normal attenuation.
3. bilateral basal ganglia and thalami are normal.
4. the 3rd and lateral ventricles are not dilated.
5. Cisterns are within normal limits.
6. Posterior fossa structures including 4th ventricle are normal.
7. no evidence of extradural or subdural collection is seen.
8. Bony structure are normal.
Mild polypoidal mucosal thickening is noted in bilateral maxillary sinuses.
IMPRESSION : calcified granuloma left high parietal lobe with mild surrounding white matter edema/ gliosis.
Suggest CECT brain for further evaluation.
but they have not for CECT yet. What do you suggest to be done further? Doctor said it’s because of egg. but is this egg dead or may form a worm later?
Please do revert, we are really worried.
You may understand this as a wound in the brain. Due to some parasite or infection, a localized area of the parietal region shows inflammation.
This is an active inflammation, with inflammatory fluid oozing out and surrounding area swelled. The fluid gets accumulated with time, pressing upon the nearby structures. This disturbs the functioning of the nearby regions. Pressing upon of the surrounding brain tissue may cause fits or headache.
Management would include taking medicines to prevent any further chance of fits. Anti-inflammatory medicines are to be given to reduce brain inflammation.
This may be due to egg, though nothing can be said for sure. It is advisable to switch her to vegetarian diet. Parasites are commoner in meat products. Avoid taking raw vegetables. Cook all veggies well before eating. Only fruits may be taken raw.
Investigations are required to confirm if this a parasitic infestation. If confirmed, appropriate anti-parasitic medication may be started.
I have problem since last 7-8 months in my head. I’ve changed 2-3 doctors for medicine but no results and after all this I have done CT scan of my head and there report is-
A small calcified focus is seen in left frontal region with no adjoining edema.
And tell it is not dangerous for me. What is symptoms when this effect body? What is the treatment to remove same?
A calcified granuloma is produced when there is a local reaction of the defense cells against some bacteria, parasite or some injury. This always occurs after some injurious event.
Firstly, it is important to remove the injurious trigger, so that further damage to the brain cells is stopped.
A single calcified granuloma in the brain tissue may be an old scar, remaining of some old tissue insult. This scar presses upon the adjoining areas and may produce the following symptoms:
Headaches
Localized fits or seizures
Focal problems like loss of vision or memory
Treatment comprises removing the cause of granuloma formation. If there is no evident cause, or the cause has been treated but the granuloma persists, anti-inflammatory pills are given to control the granuloma.
Preventive medicines against fits may be given.
Sir, my age is 23. I was affected by epilepsy first time 8 yrs before. I started using medicine from that time but still I got seizures for 3 times in this period. I am using medicine under strict observation of neurosurgeon. The reason for epilepsy as per CT-SCAN reports are
1…no evidence of hemorrhage/ infarct
2…no evidence of mid line shift
3…no evidence of extra axial collections
4…brain parenchyma
MULTIPLE CALCIFIED GRANULOMA IN RIGHT HIGH PARIETAL LOBE WITH NO PERILSEIONAL EDEMA This is what the reports got from CT-SCAN..so can you please suggest me what I have to do next and provide me some more knowledge about my health status. Thank you Dr.
An insight into why you have those multiple granulomas is required. Did your doctor comment on this issue?
Granuloma is dangerous or not, please tell me.
An old calcified granuloma may not be dangerous. However, an active granuloma, which is growing in size or has signs of inflammation around it, can be dangerous.
The location of the granuloma is also important while talking about its risks.
Sir, I have chronic headache. I went to a doctor. He told me for a CT scan. The CT scan result is like this.1.there is a small calcified granuloma measuring 5mm in the right parietal lobe. There is no perilesional edema .2.Rest of both cerebral hemispheres reveal normal morphology and are bilateral symmetrical. No focal/diffuse region of abnormal density seen. 3.The basal ganglia and thalami reveal normal morphology. Sir, I want to know that is it danger or not, please tell me.
No, not dangerous. However, you do require treatment.
The cause of granuloma formation needs to be investigation. You need to see a neurologist for this.
Hello Sir, my CT scan report, I got, “Calcified Granuloma at left high parietal region with no attendant perifocal edema”. Could you please tell me the cause, treatment and how dangerous it is?
Let us know your symptoms first. What led you get that CT scan done?
My hand and leg were stiff and some saliva was coming out and some odd sound from my mouth. It happened with me during sleep.
What’s your age? Has this happened to you for the first time?
It happened to me 3 yrs back and many times in childhood. I had a treatment for around 4 yrs in childhood and after that it was okay. But 3 yrs back suddenly it happened again. After that, I consult with a neuro and he told me to continue the medicine for 3 yrs. After 3.2 yrs it happened again.
You may need the medication for the time being.
Did you get a CT scan brain done?
Dear Sir, I am having pain in the left side of my front Brain from last 7 months and my left eye vision got decreased. I have pain in heart as well. So I went to doctor, he said it’s only depression so he gave me medicine but the pain didn’t go away. I went to doctor. I asked him for CT Scan so the report is :
CALCIFIC FOCI are seen in the CEREBRAL PARENCHYMA.
One each in the left Parietal and right Frontal (in the right caudale – internal capsule region ) and two in the left frontal region.
The Left Parietal lesion measure is 0.8×0.5cm
CALCIFIC FOCI IN THE CEREBRAL PARENCHYMA AS DESCRIBED – LIKELY HEALED GRANULOMATOUS LESIONS
Doctor please tell me what does it mean. Pain is not going away. The pain really kills me and I am having bad hair fall? Vision is decreasing. I don’t know what’s happening with me doctor. Please help me.
Continue taking the medications your doctor has given you. You may include some vitamins, containing vitamins B1, B2, B5. Many pills having these combinations are available in the market. You may choose any one brand.
This vitamin would work as a nerve tonic and help in early healing.
The calcified lesions in your brain appear to be inactive now. They are likely to be scars of some past infection in the brain.
No medical intervention is required for them. Such lesions are commoner in meat eating population. If you are a non vegetarian, you may switch to vegetarian diet. This would prevent any such lesion to occur in future.
What medications are you taking presently?
Hello Dr. Thank you very much for your kind attention but Dr. My Dr. Saying there is nothing to worry he has not give me any medicine for this but for headache he gave me ESCITALOPRAM OXALATE but I had stop eating because pain was not going away even with this medicine and I am having hair fall. Today I told the Dr. Again that I am having bad headache and I feel like unconscious drowsy and when ever I sleep pain is okay but when I wake up again pain starts again. He gave me these three medicines: RIZACT 5MG
PANTOP. 40MG
PCM 650MG and he said I will take you to psychiatrist then we will start medicine according.
Please doctor you guide me. They not taking my that CT scan report seriously. They didn’t give me any medicine for that.
And Dr. I am vegetarian. I don’t eat chicken. Doctor I only eat eggs some time.
That’s a plus point for you.
It’s alright. Since the granuloma, that showed up in your CT scan, is inactive, you do not require any medication for it.
You may go ahead with the medications prescribed by your doctor. Rizact is specifically given to control headaches. It is worth trying this medication.
Your hair fall may be linked to your headaches. Do start taking vitamin supplements too.
ESCITALOPRAM OXALATE doesn’t show its effect till it is taken for at least 14 days.
THANK YOU DEAR DOCTOR. YOU ARE VERY KIND.
You are welcome!
I had epilepsy in the year 2004. At that time, it was a worm in my brain. I had only one seizure, then I was on medication for 6 years. I was taking tegratol 200 twice a day. Then I stopped the medication, then again in the Year 2012 I started having seizures. It was a granuloma in my brain and since then I have had almost 14 seizures till now. I’m on tegratol 300. I wanted to know the following things:
I smoke and drink. Does it affect my epilepsy?
Sleeping late in the night and waking up early for my shifts. Can this affect?
Does non veg food affect?
Smoking and alcohol both have affects on the brain functioning and so not recommended to be taken in cases of epilepsy.
They may also interfere with the medication you are taking.
You need a sound 7 to 8 hour sleep. Just assure that you are sleeping adequately. The timings won’t matter.
Worms or parasites that infect the brain tissue are much common in non veg diets. Improperly cooked food or even well cooked food carrying eggs (cyst) of parasites are present in non veg meals. They travel via blood to enter the nervous system and reside there.
Switching over to vegetarianism to would benefit in future. This would reduce your chances of having brain infections and consequent granuloma formation in future.
Size of my granuloma is 5 by 6 mm. Is my condition serious?
And recently my doctor has prescribed me frisuim 5mg. Will this granuloma be in my brain forever?
Granuloma is like an old scar tissue in the brain. If the granuloma doesn’t have any redness or swelling around it, it is said to be inactive or dormant. Such a granuloma is not dangerous.
You need to take the medicine your doctor has given. This is a preventive pill against any seizure in future.
Like a scar tissue at any other part of the body, granulomas in the brain also shrink in size with time.
Yes, under that I got, “Calcified Granuloma at left high parietal region with no attendant perifocal edema”.
This appears to be an old scar tissue in the brain, produced in reaction to some trauma or infection.
This lesion is likely to be inactive, that is dormant, now. However, since it is occupying space in the brain and pressing against nearby brain tissue, you may get fits or headache due to it.
It is recommended that you keep taking the medicines prescribed for some time. The granuloma is likely to shrink in size in due course of time. Then the medications may be stopped.
My CT scan report says—————–calcific granuloma in the both hemisphere of brain. What is its solution?
Do you have any symptom due to the granulomas, like headache, seizures etc.
If yes, let us know.
If no, nothing needs to be done. The granulomas are calcified. This indicates that they are old scars caused due to some infection or injury in the past. Since they are silent now, no medical intervention is needed.
Like scars anywhere else on the body, these granulomas are likely to regress (shrink) gradually with time.
Sir, my sister is 16 year old age and many time she fear and crying in day or night. After crying she sleep for 7-10 mint. She irritant very much in this time. I went to doctor and did scanning of brain. And in brain one problem is occurred that is lesion in right occipital lobe represents old healed calcified granuloma like neurocysticercosis in 2012 yr. Doctor gave medicine about this problem but this problem also arise in 2013 and 2014 yr. And one major problem is that she demand drink more and more tea and do not eat breads or fruit in proper way. So, give me suggestion about this problem.
Your sister is likely to have had some parasitic infection in the brain. This happens when a parasite, like worm, or its egg (cyst) present in poorly cooked food enters the blood stream. Along with blood, it may reach the brain and reside there, making its nest in the brain tissue.
Such problems arise more frequently when non vegetarian diet is consumed.
It is suggested that she shifts to a vegetarian diet. She may require to take medication against worms, anti helminthics, for some time. For that, you may see a doctor, preferably a neurologist.
Sir, in my ct scan report they found a classified granuloma without perilesional edema in left frontal lobe. I am facing some headache and anxiety. Doctor said it’s a symptom of epilepsy. But I am not having any seizures. Why it’s forms and what are the treatments available? My doctor prescribed Flupirtine malate cap, Betahistine tab and some Neuro boost tablets.
Calcified granulomas are scars formed after some focal injury or infection (parasite/ cyst) in the brain tissue.
Since there is no perilesional edema, it’s likely that your granuloma is not active. It may shrink in size on its own with time.
Meanwhile, doctors do prescribe anti epileptic medications. This is because the granuloma occupies space and presses upon the adjacent brain structures. So, there is always a risk of fits.
Still, you may go for a second opinion to some other neurologist to be sure.
Impression: Findings are suggestive of small cysticercus granuloma in right parafalcine occipital lobe in early calcified stage.
Ye mri report hai to isme kya bataya gaya hai …. Kya ye chinta janak hai…..
You appear to be having some parasitic infection in your brain tissue. Immediate treatment is required.
What are your symptoms?
Good morning DR. I have granuloma in the right parieto-occipital region. I am suffering from headache Dr. Is it dangerous in future?
Did your doctor comment on the cause of the granuloma?
When the cause is known, appropriate medicines are given to reduce the size of the granuloma. For example, if it is due to some cyst or worm, medicines are given to kill the worm.
A granuloma that is increasing in size needs medications. While those which are silent or dormant are left as such. No medical intervention is required. They reduce in size on their own with time.
Thank you DR. I am taking Ayurveda medicine. Dr is saying that it’s not at all problem now. But after 3 or 4 years if there is any problem then we will see. Sir I am writing all the report’s.
Clinical features-headache
Focal calcific density is noted in right parieto-occipital region measuring approximately 5.8 x 4.0 x 4.3 cm
(TR X AP X CC). It shows no evidence of perifocal edema.
Otherwise the bilateral cerebral parenchyma appears unremarkable with no significant abnormal focal or diffuse area of altered attenuation seen in the brain parenchyma.
No intracranial hemorrhage / collection / midline shift is seen.
Ventricular system, basal ganglia, thalami, brain stem and cerebellum appear unremarkable.
Craniovertebral junction reveals no obvious significant abnormality.
Visualized paranasal sinuses ,mastoid air cells and the orbits appear unremarkable .
Visualized bones reveal no significant abnormality.
IMPRESSION;
Focal calcified granuloma in the right parieto-occipital region.
No other significant brain parenchymal abnormality is seen in this study.
Please DR. tell me if there any problem in future regarding this. And one more thing Dr what is CYST and WORM?
Please give details.
From your reports, your lesion appears to be inactive, or dormant. A calcified granuloma is like an old scar.
Like you get a wound over the skin in any part of the body, and the wound heals slowly. A scar tissue is formed, which dries up gradually with time.
A granuloma is similar to the above mentioned situation. It is a scar tissue formed in the brain. You may have had some injury or infection some time in the past, that caused a wound like lesion. The lesion dried up to form a granuloma.
Your granuloma is not dangerous. It is unlikely to cause any problem in future. Nothing needs to be done as far as your granuloma is concerned.
Your headaches may be due to your sinus problem. You may see an ENT specialist regarding this.
Worms/ cysts are common in people who take non vegetarian food. Sometimes, meat is not properly cooked and may harbor some worm. Its egg is called a cyst. This enters our blood stream and may reach the brain tissue to produce a focal point of irritation or inflammation there.
Sir I am 31 years old and I am suffering sinus problem.
Thank You sir.
Good morning Dr. and thanks a lot for your valuable advice.
You’re helping so many people. You are giving advice to them.
You are welcome!
Dear Doctor, in 2010 suddenly my right hand started shaking, it’s almost 3 and half any hour, so went to general physician. He had given me one injection it’s stop shaking. Later I consulted one neurologist he told to to go for CT Scan and EEG. I undergone for that, in CT scan it was showing 3mm calcified granuloma in the left side of the brain. So doctor suggested me to take oxitol 300mg for 3 yrs. I took in the same way but when it was two and half year I got same symptoms. So I asked doctor, he told me that scar will not go, it would remain. So after 3 yrs, doctor told me to stop medication, now it’s almost 2 and half year I didn’t get any symptoms. But now I am pregnant. Is there any problem during pregnancy. Please doctor kindly let me know.
Do not take oxitol or any other anticonvulsant during pregnancy.
In all likelihood, you’ll not have any problem.
My sister is having severe headache since last 2 months. Doctors give medicines to her but since few days she is seeing double from her eyes, she is having vomiting continuously. Doctor advised for MRI
We get it done MRI contrast.
T2 weighted images demonstrates numerous small hyperintense space occupying lesions spread diffusely in the brain stem, bilateral cerebral hemispheres and bilateral cerebellar hemispheres. These lesions are also seen in both basal ganglia regions and right thalamus. They show hypo-intense signals on T1 and FLAIR images. Mild to moderate amounts of surroundings edema is seen around few of the spaces occupying lesions. Post contrast T1 weighted images demonstrates ring and disc like enhancement from these lesions. The lesions are measuring about 14X10 mm and small.
IMPRESSION:- Finding are suggestive of Multiple ring and ring enhancing space occupying lesions spread diffusely in brain stem, bilateral cerebral hemispheres, bilateral cerebellar hemispheres suggesting-Active inflammatory Granulomas? Neurocysticercosis in various stages.
After this Doctor started medicines
Zental 2/day
levipil 500 2/day
After 15 days her condition become very serious, we admitted her in hospital. Her condition is better now in hospital, but she is not able to see from her eyes, only very near can see. Doctors saying when edema will reduce, she can see.
I’m worried, please advice.
Just continue with the treatment her doctor has prescribed. The vision problem is likely to be temporary. As her edema reduces, she’ll be able to see better.
Doctor told us now, that she is having brain TB. Treatment is for 1 year. they started Cap :- Rcinex Tab – Levipil 500 Tab – Pan 40
She is still having vision problem, how long time she will take to see better?
It may take 3 to 6 months, time required for the lesions in the brain to regress gradually.
Have you informed your doctor about this symptom?
I informed to Doctor about it, he told me that will take some time.
But still she is having headache and fever everyday, when she feel headache her vision become more dull after some time it gets better but not able to see clearly.
Feel sorry for her condition.
Unfortunately, not much can be done. As your doctor says, this will take time to get better.
Lesions of the brain are difficult to manage. Surgical procedures are not preferred here.
Sir, whenever I wake up, I feel depressed, low mood, remember nothing of the past condition, feel heavy headed at the right frontal region, sleepy mind. I’m very upset with my disease. I did my MRI and showed an incidental calcified granuloma at right frontal parietal region. Please tell me about this problem.
You are not sleeping well.
Granulomas in the brain tissue is like a scar tissue anywhere else in the body. This scar tissue in the brain, presses upon adjoining normal brain cell, compressing it. This may be giving you headaches.
If the granuloma shows signs of inflammation around it, like swelling etc., you need treatment for it. Talk to your doctor regarding this.
In my mother’s CT Scan report, she had “well defined 4.2*4.3mm calcific density nodular lesion at left frontal lobe”. It revealed a calcified granuloma in left frontal lobe. 4 days back she suddenly woke up from sleep and her left hand was stiff. She had pain in her right foot. She had lot of difficulty in speaking (Hardly could speak one word with fluency). So we took her to the hospital as it was the first time she had such type of symptoms. Are these symptoms of granuloma? Can it be treated or not? She also had an MRI after which she is continuously vomiting. Can MRI result in vomiting?
If it was a contrast MRI, she may get vomiting after that. This would subside in a day or two.
Your mother needs to see a neurologist. She needs treatment.
The calcified granuloma in the brain tissue is occupying space and is pressing over the nearby brain tissues. This pressure over the normal brain tissue may give rise to symptoms, like loss of speech, partial loss of movements, loss of vision/ hearing or even fits.
There are medicines to control all these symptoms.
Sir my name is Pooja and age is 20 years.
I got an attack of fits in the month of may 14.
After CT SCAN calcified granuloma with perilesional edema was found.
Dr. gave me treatment with tab Oxetol 300, vitafol yellow color, Oxetol 450 and Naxdom 500 for headache (only when headache is there).
Now after five months of treatment Dr. suggested me for MRI. IN MRI report there are 8mm, 4mm and 6mm calcified granuloma WITHOUT perilesion edema found. Now Dr. is saying to increase the doses and I am pregnant also for last three months.
Kindly suggest me the best to do.
Have you informed your doctor that you are pregnant?
Yes sir, my Dr. is aware that I am pregnant.
You may take the medicines prescribed for your brain lesion.
Though these medicines are not without side effects, not taking them can be more risky.
You may go as per your doctor’s advice.
The patient under consideration is my father aged 71 years. For last three months he is suffering from various symptoms like difficulty in speaking, swallowing, extreme throbbing and bending of left jaw including general decline in health. These symptoms are worsening with passing days. He is undergoing treatment at AIIMS, New Delhi. The MRI shows a well defined mass with mild central necrosis of size (3.6)cc x (3.5)AP X (2.9)W cm in right fronto-parietal region with surrounding perilesional edema and heterogeneous enhancement on post contrast study. An immediate surgery has been suggested. He is also taking telma40 and Gimmer500, once a day for last 4 years to treat mild BP and sugar. Kindly advice on urgency of surgery or some alternative method is available.
Surgery is the only possible option.
The lesion in the brain is occupying some space amongst the brain tissue. It is necrosed from the center. This mass is pressing the adjoining brain tissue, as the brain is bounded by a bony covering (skull) and cannot expand. This pressure is giving symptoms. Speech is affected, some muscle groups are affected and so on.
It is essential to immediately relieve this pressure, otherwise the normal brain tissue near the mass would also undergo pressure necrosis, that is, get damaged.
Sir, my father has a calcified granuloma, approx 7.0×6.0mm in right temporal lobe. Old healed granulomatus lesion. Is it cause problem in future?
It’s like an old scar tissue lying in the brain. This lesion is likely to be inactive and cause no problem in future.
You need not worry about it unless he has some symptom, may be headache, fit or anything else.
Which cyst or swelling is more in person consuming non vegetarian? Why?
Animals are often infected with worms, due to their hygiene and dietary habits. When you consume their meat, it is possible that you ingest cysts/ eggs of worms.
These cysts may be very tiny and resistant to your cooking methods. They survive and move in our blood, till they get a chance to settle down in some tissue and grow.
Calcific focus in the left occipital lobe of brain. I have epilepsy since 2004 onwards. I was using Zeptal CR 200mg from 2004 onwards. I have changed the doctor due to location change. Doctor check EEG & MRI. changed the medicine to levipil 500. Previous if I forgot to take medicine for 2 days, I was getting pain in left part of the brain. Because if I travel in bus, I’m getting seizures. How can solve the issue?
Both the drugs work alike. You need to take the medicine regularly. As you take it, your body would get adjusted to it.
Thanks for above information of Calcified Granulomatous Lesions of Brain.
i was taking tegrital for several years . initially it was 500 then 400 then 200 then 100. last i was on tegrital 100 for about 1 year. seizure occured in jan 2017 . this time when seizure occurred doctor has advised levipil 500 twice a day. for about 1 month everything was fine . i was initially also taking frizium but that was stooped after 2 weeks. now i feel very uncomfortable for last 3 weeks .
i was more or less comfortable with tegrital . should levipil dose be increased or should i go back to tegrital. MRI and EEG were done about in november 2016 . they were normal. old granuloma exists.
You may consider going back to tegrital. Task to your doctor about this.
thanks so much for the response. also , kindly inform does levipil cause positional head spin. and are there any side effects of tegrital? among levipil or tegrital which is safer? thanks once again.
one more thing, I have been advised Levipil is a safer drug. should i try adapting myself to Levipil . thanks
Both these drugs calm the brain tissue, but differ slightly in their action. If you are more prone to getting fits, tegrital is preferred.
thanks once again. nice to see you someone cares to respond . what exactly is the difference in 2 drugs? does Tegrital have long term side effects like on bones, liver, etc. also, does levipil cause position vertigo? thanks once again.
Levipil has been clinically seen to give dizziness in some patients. However, some respond very well to the drug. So, it’s more a question of which drug suits you better.
As for side effects, both drugs have side effects when taken for long periods. That is why, doctors consider switching over drugs after certain periods of time.
thanks once again. really appreciate! I am an advocate. Incase you ever need any help please let me know. Rgds.
Thanks so much.
I have severe headache. In scan report. I have calcified granuloma in left frontier 3*2mm
Is it cause any problem infuture
Any chance for epilepsy
A calcified granuloma is occupying some space in the left frontal portion of your brain. It is an extra/ abnormal mass there, taking space and nutrition from adjoining brain tissue.
As it presses upon surrounding brain tissue, you get headache. Chances of getting fits in future cannot be ruled out. You need to get treated.
After your doctor investigates the cause of this granuloma, treatment may be started. Gradually, the granuloma would reduce in size and become become less of a problem.
I have stroke problem at last 8 year. my left of brain have a blood clot which have fits in right side hand to body for 20-100 second time interval after that some times i felt weakness like standing walking etc. I felt stroke fits in 7-9 months 1 time. At present ”zen retard 300mg”tab 3 times per days. 2 month ago i stopped “oxcarbazapine 300 mg ” tab , “lamotrigine 100mg” levepsy 500mg”.
Is this problem end at a day?
The problem would end as the clot dissolves. What’s your age? Are you taking any blood thinner?
Age 22. At this time only zen retard 300mg 1-1-1 in day. Is this right treatment? Before zen retard tablets i took above 3 tablets for last 6 years.
Stroke is effect by body weight ? In this age what can i do like yoga, gym, running ?
Sir,
I am 33 years old since last 15 days minor headache & some dryness faced on my face than I had consult with Dr. He suggested us go for CT Scan. In CT Scan Well defined calcified foci without perilesional edema is seen in right occipital lobe. we have shown the CT Scan report to Dr. He Said its calcified no need to worry & he has not given me any medicine but sometimes I am having minor headache or tightness in different portion of my face.
Can you please let me know Is it dangerous or not? should i consult with another Dr.?
Since it’s calcified, it’s likely to be an old lesion. Such lesions don’t grow. They tend to shrink with time.
Ok thanks,
Some time also felt minor inflammation in head
You definitely have a lesion there. So, you may be experiencing it’s presence. However, it’s not worrisome.
You may go for follow up CT scans at regular intervals, say yearly, to assess the status of the granuloma.
Thanks for reply.
Now, I am feeling perfectly fine but some times psychologically felt something went wrong in my mind. I have consult at-least 5 to 6 doctors. All of them given very satisfactory advice no need of worries Its just calcified & would not grow in future.
I was also scare about due to this “fits” can come in future but all doctors gave me very positive reply there is no scope of fits so don’t worry & enjoy stress free life.
I am happy 🙂 🙂
All the best for your health.
I am 22yrs. At present i have took only ‘zen retard 300mg’ in 1-1-1 rotation in a day. Dr said to stop these 3 tablets ‘oxcarbazepine 300mg’ 900mg in a day, ‘lametec 100mg’ 200mg in a day, ‘levepsy 500mg’ 1500mg in a day. After these stop zen retard is start. Is this right treatment?
I am having minor headache or tightness in right part of body. Can you please let me know is it dangerous or not?
Is there any ways to solve it? Tell me.
Should i consult with another Dr.?
Is stroke affected by my body weight? Which kind of activity i can do? Like yoga, gym, running, games, sounds, t.v. ?
Since when and how did you start getting these problems? Any history of injury or black out?
In age of 12 yrs. At first time I felt in my right hand’s first finger and thumb was suddenly tightness in right side. After that in 2-5 second my full body is affected. I was unconscious for 3-5 hours and after that I was conscious for 2 minute and again unconscious for 3 hours. When I concern to Dr. said there is a blood clot in left side of brain. At this point treatment was start. This is my history.
please reply for at present time..
I am 22yrs. At present i have took only ‘zen retard 300mg’ in 1-1-1 rotation in a day. Dr said to stop these 3 tablets ‘oxcarbazepine 300mg’ 900mg in a day, ‘lametec 100mg’ 200mg in a day, ‘levepsy 500mg’ 1500mg in a day. After these stop zen retard is start. Is this right treatment?I am having minor headache or tightness in right part of body. Can you please let me know is it dangerous or not?Is there any ways to solve it? Tell me.Should i consult with another Dr.?Is stroke affected by my body weight? Which kind of activity i can do? Like yoga, gym, running, games, sounds, t.v. ?
reply …..
Was CT scan done? If yes, what was the report?
Treatment is correct. Your doctor wants to control your symptoms. He doesn’t want you to have another fit or spell of unconsciousness. Oxcarbazepine is the same as zen retard. Two other medications added are given to relieve your anxiety and calm the brain. It cannot be said for sure, without a clinical trial, how you’ll respond to them. However, they may be tried.
Staying physically active is good. However, more importantly, you need to keep your mind relaxed. Any relaxation technique, like meditation or yoga, may be adopted.
hi what causes edema and multiple brain hemorrhage s..i send you the ct scan result if i have to..thanks
There can be varied reasons. The commonest is having fragile blood vessels supplying the brain tissue or high blood pressure.
I’m 21 years old. I’m suffering from headache previous 1.5 years. When I consulted the Dr we advise me for CT scan.. when i CT scan report saw then write on report ” A SMALL CALCIFIED FOCUS OF 4-5 MM IN RIGHT CEREBELLAR HEMISPHERE MAY REPRESENT HEALED GRANULOMA”. But the Dr advice the medicine me “BETACAP TR 20 mg” and “BETACAP TR 40mg” when I take this medicine then my headache is very hard on long and also hot around my eye.. I also check up my eye then the Dr advice me spectacle use the 6 month.. when I use the spectacle then my headache is normal. My headache is daily… So pls best suggest me. What I do????
Healed granulomas donot need treatment. However, if they are a cause of headache, betacap may be given for a short period of time.
You need to find out the cause of your headache, is it due to the brain lesion or refractive error in your eye. If wearing spectacles relieves your headache, may be you don’t need any medicine.
Sir,
I have severe headache, vomiting tendency, can not remember, not willing to speak, not willing to receive phone calls, can not sleep. This is happening since a long period. I visited Doctor, advised for ct scan of brain. Today I got the report and the report says,” Nodular calcification seen in right inferior temporal lobe and prominent calcification of pineal gland “. Now I am in tension what to do. Please advise me the next course of treatment. Please please please….
You’ll need to follow up with your doctor for medication. We don’t prescribe here.
Those calcified foci are very likely to be giving you symptoms. Treatment would be given to control the pressure of calcified foci upon the surrounding brain area.
Sir,
I am Rajesh (30 yrs) 51 Kg, I lost my 9 kgs and On 27 feb, 2017. I did CT of my chest and I was detected TB. From past 5 months, I am on AntiTB medication and on midnight of 27 july,2017 I got seizure/Fit as according to Doctors, I did CT of HEAD; report said,” MULTIPLE SMALL HYPERDENSE CALCIFIED FOCI NOTED IN BILATERAL PARIETAL LOBES WITH FEW AREAS OF FOCAL EDEMA NOTED IN LEFT FRONTAL AND RIGHT PARIETAL LOBES.”
They recommended Tab levepsy 500 BD.
I am totally depressed now what to do,is this is too serious.
It was 1st time that i got seizure/Fit, what to do sir.
Any other symptom, headache, pressure in head, fever, etc.
No sir not at all, no head related problems till now.
These may or may not be tubercular lesions. If they start shrinking as you take treatment, it’s likely that this is also due to T.B.
Have you started anti tubercular treatment?
As I discussed earlier Well defined calcified foci without perilesional edema is seen in right occipital lobe due to this having minor headache and felt heaviness on scalp. Consult this issue with multiple neurologist but they gave me pain killer. Just want to know in CT scan calcified foci is showing. Should I go for another test like MRI Or CT scan is enough.
CT scan is enough. You know what you have. Your lesions are likely to shrink and disappear with time. Stay relaxed.
All you need to do is to go for repeat scan yearly to keep observing those lesions. A watch over them is essential.
As I told you, sometimes feel minor headache and felt heaviness on scalp. Should I take any pain killer or ignore the pain?
That’s up to you! If the pain is disturbing, better to take the pill.
Since last few days I am felling heaviness in head & sometimes my right eye is also blinking. As i told you in my previous post 2 years ago “Well defined calcified granuloma lesion without perilesional edema in right occipital lobe.” in brain comes in CT scan.
Can you please let me know above mention symptoms are serious what should i do?
Your symptoms are very likely related to the granuloma. May be the granuloma is growing or swelling in size. Needs to be investigated.
Multiple focal calcification measuring approx 3-5 mm is seen in the bilateral cerebral hemisphere left thalamus suggestive of multiple old healed granuloma.
plz suggest about treatment n cure.
Your age? Your symptoms?
Sir my dady suffering from small calcified granuloma seen in the left temporal region with no evidence of edema surrounding.. Sir give suggestions if surgery is required or not. Give me answer sir.thank u sir
What are his symptoms? How big are the lesions? His age and any underlying disease he has?
Hello Doctor,
Impression in CT Scan report.
Age & Gender – 57 Years / Female
Clinical Data- Headache.
Tiny Calcified nodule measuring 3 mm noted in the left temporal sulci with no perilesional edema – Old healed granuloma.
Is this can be treated through medication or surgery required.
Medication started already but the tablets taken in night feels sleepy for entire day.
Need some suggestion.
How often CT scan required ?
How long medication should be taken ?
Is this can be treated through medication or surgery required?
Looking forward to hear from you
Thanks,
Praveen
Surgery is not required in such cases. Better to deal with medications alone.
She may need to take medications for around 2 to 3 years. Annual scans are enough for follow ups.
Any history of getting fits? What medications is she taking?
Hello Doctor,
Thanks for your prompt response.
History of fits- No
Often times backside of the head gets huge pain.
last week She slowly lose her consciousness for a minute then she was back to normal , that’s the reason we went for checkup.
After So many years below are the medications she started to take now.
Medication Details as follows,
——————————————————–
Chlotrip-DS – (Chlodiazepoxide & Amitiplyline Tablets) – Only in night (0-0-1)
Topival 50mg – (Topiramate Tablets IP) – Only in night(0-0-1)
Elanac-P (Aceclofenac with Paracetomal Tablets) – Morning one / Night one (1-0-1)
Panris 40 – (Pantoprazole Gastro Resistant tablets)- Morning one / Night one (1-0-1)
Nerwal Plus-(Methylcobalamin,Folic Acid,Alpha lipoic acid,Chromium Polynicotinate,Inositol,Selenium and Zinc Tablets) – Afternoon only (0-1-0)
——————————————————–
Note- She claims that the tablets which i mentioned first (Chlotrip DS,Topival 50mg) is making her feel sleepy for 14 to 15 hrs. She is feeling worried about it.
Is it normal,Peoples who take these tablet go drowsy for so many hours ?
Any other inputs from your end doctor ?
Looking forward to hear from you.
Thanks,
Praveen.R
She is right. The two tablets prescribed to her reduce overall brain activity, making a person sleepy. You may consider reducing the dosage of both the pills.
Hello Doctor,
Thanks for your prompt response.
Is this medications should be followed life long or with regular CT scan reports we can slowly stop this medication?
Is it completely curable? Is there any symptoms we can see when its started to cure?
Please suggest food course we can take for this sort of problem?
Can I know the reasons why this sort of problem arise?
It will be really helpful for me and peoples here in this forum.
Please share your inputs.
Looking forward to hear from you.
Thanks,
Praveen.R
Most of such lesions shrink in size with time, to become very tiny. Finally, there may just be a scar tissue. Follow up scans are required to make assessments. The medicines may be reduced accordingly.
It may take 3 to 4 years for the lesions to dry up into scars. So, you need to be patient.
There are many reasons why you get such lesions. You may read about them in the above written article. In people who take non vegetarian food, parasites or eggs from contaminated meat gets inside the brain tissue to form granulomas. Apart from this, some infections like T.B. may also cause granulomas.
Hello sir good evening sir my problem is CT scan seen the calcified granuloma right centrum semi ovale and my MRI seen discrete foci of blooming as detailed s\o old granuloma so what is my diagnosis please tell me sir
I suffering with feverB102F from last 2 days but second day morning may be time is 5:00 am so I want need a some water for drinking so wake from the bed then I loss of consciousnes till 3 minute’s no tongue bite and body Shake’s but urine passed out and teeth tight so please tell me .now I have TB
The granuloma is likely to be a part of TB. You need to be treated promptly for this infection.
Hello sir good evening sir my problem is CT scan seen the calcified granuloma right centrum semi ovale in my head and my MRI seen discrete foci of blooming as detailed s\o old granuloma in my brain so what is my diagnosis please tell me sir.actually problem is
I suffering with feverB102F from last 2 days but second day morning may be time is 5:00 am so I want need a some water for drinking so wake from the bed then I loss of consciousnes till 3 minute’s no tongue bite and body Shake’s but urine passed out and teeth tight so please tell me .now I have TB
You need full treatment for T.B. Fever is likely to be due to it. The granulomas have also developed due to T.B.
The treatment is long, but required. After full treatment, the granulomas would regress on their own.
Good evening sir now i am started treatment for T.B but from 5 days I suffer with heaviness of my head located at back nearly upper neck will u give me any suggestion sir please..
What medicines are you taking?
Rifamacine 600, isoniazide 300, ethambutol 1000 parazinamide 1500, pridnisoline 40. …….
Your symptom appears to be a side effect of the medicines you are taking. As you continue taking these medicines, your body would get acclimatized to them and these symptoms would fade off.
My wife was scanned ct, and the impression is Calcified granuloma in right parietal region, she has sometimes felling of giddiness, some time head ache, some time vomiting, consulted doctor please tell what to do, is surgery is necessary or medication is enough. Thank you very much sir
Medication given to her are Captar, Verzitac, Incam -DT, Chirocap
Most of such cases are controlled by medicines alone. Surgery is not done.
Did your doctor tell you why she developed this granuloma?
He asked us to come after ten days so we didn’t asked any thing sir, next we ask that and contact you back thank you
In such cases, assessment is made on the basis of whether the granuloma is active or dormant. An active one would keep increasing in size or have fluid oozing around it, just as a swelling.
If dormant, only medicines to control granuloma sypmtoms are given. If active, the cause of granuloma is investigated. For example, if the cause is T.B., anti tubercular need to be given.
In the report of MY MRI 2015 and 2016(with contrast) it was showing calcified granuloma in left occipital lesion and iny EEG reports(2times done) it was showing cerebral dysfunction both times. i fall down 2times but recovered in sense within 20 seconds.
valprol 500 was suggested with clonazepam and multivitamin tablets also stablon tablets.
But now i not taking any medicine due to my working profile.
Now in 2017 I went for my eye test and doctor found glaucoma in both eyes.does both are associated or else?
I m working in shifts…so does my condition permits me to do night shift? And how can I recovered?
Glaucoma is unlikely to be related with the granuloma. It’s a separate problem.
It’s safer for you to take the prescribed medicines. This would cover you against getting any other bout of loosing consciousness. May be you can discuss your work profile with your doctor and request for less sedating milder pills for protection.
I got fits attack in year 2000 & was treated for the same. again i got seizure in 2007 & was treated for the same. I was asked to take Oxetol 300, which i am continuing till date. Taking one tablet daily.
I never for any attack after 2007. However from last two weeks I am feeling continuous headache.
For safe side i got brain CT Scan done. It says, “Tiny calcific focus in right posterior parietal lobe with no surrounding perilesional edema – likely calcified granuioms”.
Report also says,”III-defined tiny hypodensity noted in the left anterior pons, likely artifactual”.
Remaining everything is normal.
My concern now is I am getting headache very frequently & doctors advised me to take Dolo 650 for the same.
Can you please advice if this is something to worry about? Can I stop taking Oxetol 300 now? I don’t want to take Dolo 650 as it will have its side effect in future. Please advice.
What was the brain scan report in 2000 or say, 2007? Did it show any brain lesion?
It showed a small spot in CT scan.
Difficult to comment. It would depend upon the nature of those lesions. Are they small hemorrhages or something else?
This was a small hole caused by hook worm. doctors kept me on medication & that hook worm was killed and calcium was formed on that hole.
My friend suffering with HIV since 15 years presently he admitted in hospital with te complaints of head ache nausea committing giddiness doctor suggested MRI scan impression iscalcified lesion noted at left parietal region without perilesional edema calcified granuloma after taking medications he is getting instent relieve till he is suffering with giddiness what is the reason kindly give it valuable information
Since there’s no perilesional edema, this granuloma is likely to be in active. Giddiness may be related to some medication he’s taking.
My daughter suffering from fits last 10years now she is 18yrs.MRI
Report is Calcified granuloma in right partial lobe . Take Cloba 10mg daily one tablet at night. Is it treatment is correct?
The treatment is alright. Does she go for periodic scanning of the brain to re assess the condition of those lesions. Are they growing or shrinking in size?
Lesion
Sir
In the year 2015 my both eyes become blurred and was in the same state for about one hour and then my eyesight came back.
But after that severe headache is there for some time. At that time I didn’t take any medical suggestion and till now that is not repeated again.
Coming to present period from about one week I am feeling dizzy all the time . So I went to the doctor and had a CT scan done for the brain..
The report says “” A CALCIFIED FOCUS IS NOTED IN THE CEREBRAL HEMISPHERE OF LEFT CENTRUM SEMIOVALE WITHOUT EDEMA OR MASS EFFECT POSSIBLY POST INFECTIVE PATHOLOGY “” and rest of the report is normal.
What does this mean and will it affect me in any way.
What type of symptoms can I see because of this.
I am also having some swollen lymph nodes under my jaw and I took medication for that and doctor told me no need to worry for that. This was about 5months ago.
I can’t understand whether there is any connection between all these..
Please give me your valuable suggestion sir
It’s very likely that you had some infection in your head or neck area (may be throat infection or ear, tooth, sinus etc.). This infection got spread to your lymph nodes and was even able to enter your brain tissue.
Many infective bugs and parasites are able to enter the brain tissue to infect it. With time, the primary infection got treated, however, your brain still shows a remain of this infection.
This focus is like an old scar tissue lying there, which is likely to heal with time and shrink gradually to eventually disappear.
Meanwhile, you need to keep a calm lifestyle. Avoid too much of stimuli, stressful situations or adventures trips. Abstain from alcohol and non vegetarian diet.
Thank you for your reply and valuable suggestion sir.
I want to ask you some more questions. Sorry if I am asking too many.
1. You said that the brain shows a remain of the infection. Is it ok if it is still there or else will it become active again.
What symptoms should I watch if it becomes active again.
2. I eat non veg only once in a week. Should I stop it fully.
3. Should I have periodical scans to check that infection.
4. Why I got those blurred eyes and severe headache.
The only way to asses whether the lesion is active or not, is getting repeated CT scans.
Active lesions show some edema or blurriness around them. Also, you may see them increase in size with time.
Active lesions definitely need medical treatment to arrest their growth.
Improperly cooked non veg food may be a source of parasitic infections, which are commonly linked with brain granulomas. So, limiting them would be advisable.
As for your symptoms, most likely, you got them because of this granuloma. This lesion is occupying some space in your brain, pushing/ applying pressure over the healthy brain cells.
Due to this undue pressure, you got those symptoms. Furthermore, a relief in symptoms without medication, may indirectly suggest that the lesion is healing and shrinking in size.
my name is anitha .i have calficied granuloma .my CT Report is vertically oval ring like marginal calcification of size 4.4.*3*2mm is seen just below the inferior aspect of 4th ventricle,partly attached to antero inferior ,margin of cerebellum.my headache prolonges since more than of 1 month.frequently and sudden fever cold,body pain,cough,nausea.nw its more,it causes anything serious doctor.
Location of the lesion is such that it’s not to be called serious. However, you need to control symptoms troubling you.
Your doctor may recommend pills to control your headache and any chance of getting fits.
Also, it’s important to assess whether the lesion is active or not. An active lesions would require treatment to arrest its spread.
Dear sir.
My brother had a seizure about 2 year ago.CT showed tiny calcified granuloma in left occipital lobe. Doctor suggested to use Encorate Chrono 300 twice a day, but 1 year later he agained suffered from seizure. Then after Doctor increased the amount of medicine to 3 tablets per day. Recently after Doctor increased medicine he again suffered from seizure after 6 month. What should we do because I dont think the medicine is making any difference. Also Doctor has not requested any re CT or MRI afterwards to monitor the growth of granuloma.please suggest me.
Better to get the medicine changed. It doesn’t seem to be controlling the symptoms completely.
A repeat scan may be required to re assess the situation.
Dear Sir,
My wife age 41 is suffering from Migraine for last many years and this prolongs to sometimes for a week time or more once occured and repeating very fast. On repeated headache, nausea, vomitting our doctor prescibed fpr C T Scan in which observation is this “A HYPERDENSE FOCUS – 5 X 6.4 MM IS SEEN IN LEFT OCCIPITAL LOBE (968 HU) SUGGESTIVE OF CALCIFIED GRANULOMA. NO PERILESIONAL EDEMA IS SEEN.” ” IMPRESSION :- STUDY REVEALS CALCIFIED GRANULOMA IN LEFT OCCIPITAL LOBE AND NO PERILESIONAL EDEMA”.
Sir,
Please guide me about this. Is this needs to get operated and what are the consequences is there any risk .
Thanks and Regards
Operation is usually not suggested. The granuloma is likely to shrink with time. It shows no sign of expanding in any way.
Meanwhile, migraine headaches need to be controlled. What medicines is she taking?
Dear Sir,
Got the MRI report and stating the below points.
MRI scan report
1> small clacification – 3×2 mm in the right thalamus with blooming noted in the gradient images. No significant perilesional edema noted
2> Mild prominance of the right temporal horn with no definite hypertensity / loss of normal lobulations in the hippocampus.
Currently severe headache and body pains . Lot of depression. Currently taking medication.
Please advise or precautions the next steps.
Regards,
Rama
Did you suffer any chronic disease or had any accident involving brain trauma?
Sorry to say. The above symptoms for my brother. He has chronic suffering from TB, Diabetes . He left his body yesterday. Than you doctor for reply.
Sorry for his demise! May he rest in peace.
Impression: calcified granuloma in right high thalamus
Sir can u tell me about this.my mother is suffering from this disease.. plz tell me also treatment what can i do..m worrying ??
Respect Sir
My wife 12*9 mm left side in brain calcified granuloma. She vestil tm5, lockcidom, shine 10, ection ls, tablet twice 1.5 year’s above what can I do he grow before
What are her symptoms, age, details of MRI report?
26 yrs Age calcified granuloma left side in brain 12*9
Does she have any headache, fever, gastric problem, seizures (fits)? Why did you go for an MRI?
No Sir.. Only pain in head
Chakkar
It’s important to know whether the lesion in the brain is active or not. An active lesion would show fluid/ edema around it, and would expand with time. A dormant lesion, on the other hand, is usually due to some old trauma or infection there. Such lesions shrink with time. They don’t show any fluid around them on MRI.
For dormant lesions, we need to give medicines just to control headache and dizziness. However, for an active lesion, further investigations are required to know why it exists. Is there a parasite in there?
Impression (CT scan) : Small nodular calcification in left frontal cortical region—? old healed lesion / small calcified meningioma. MRI is suggested.
Polyp in bilateral maxillary sinuses.
Respected sir, what it actually means ? Are the polyps dangerous ?
No, polyp are not dangerous. They are non cancerous tear shaped growths coming out from the inner mucosa lining your sinuses.
Sinuses are air spaces present in your cheek bones. Usually, polyps are associated with some allergies.
Treatment would depend upon their number, size and symptoms they are giving you. Smaller, non disturbing ones may be left as such. A nasal spray may be prescribed to make them shrink. Bigger ones need surgical removal.
Thank you Sir for the reply and what about this nodular calcification in the left frontal cortical region ? Is it something to worry much ?
Thank you Sir for your reply. And sir what about this small nodular calcification in left frontal cortical region ?
Is it something to worry much ?
This lesion appear to be inactive. You may understand it as a scar, formed from some past infection/ injury at that particular place. Any how, it’s a healed scar. Likely to shrink even more with time. No intervention required at the moment.
Thank you Sir for your precious advice
Welcome.
FINDINGS:
Tiny focus of chronic microbleed with hemosiderin staining is seen in the right frontal region (To be correlated
with history of head injury)-close differential of healed calcified granuloma maybe ruled out with NCCT study
Let us know the full history, including age, symptoms and full reports of the patient.
Sir as suggested earlier in my CT scan report, i did my MRI yesterday and result was given to me. And its impression is : SMALL NODULAR EXTRA-AXIAL CALCIFIED LESION OF SIZE 5MM WITHOUT ANY POST CONTRAST ENHANCEMENT IN LEFT FRONTAL CORTICAL REGION – SUGGESTIVE OF SMALL CALCIFIED MENINGIOMA.
Sir what it signify ? Is it a tumour ? Does it require some immediate treatement ?
Meningiomas are growths arising from the coverings that cover and protect your brain and spinal cord. Most of these are not cancerous.
You’ll need periodic scans, just to see if it’s growing or silent. Your doctor may Grade your meningioma, according to its behavior and symptoms it’s giving you.
A small one, that’s not growing in months and is calcified is likely to shrink further in size. No active treatment would be required.
Thank you Sir, i will let you know as soon as i do my next scan.
Wishing you health!
Hi there.
I am form Vancouver Canada where the Health Care system is free however extremely slow. I have experienced for the last 3 years (31 years old now) light headedness, anxiousness, minor depression, mood swings, tiredness, and pressure mostly in my left year. I have been to many doctors and specialists including ENT, TMJ, Xray, CT. they eventually found a granualmo near my brain, i guess its caused from bleeding then it calcifies? im not really sure, but they said they cannot take it out because its close to my brain, at least thats what the ENT said. I cannot live like this for the rest of my life, i feel like its hopeless. Anyways, i was just seeing if someone can give me advice?
Thank you
See, if it’s from a vessel that bled, and later on the lesion calcified, there’s nothing to worry. The good thing is that such lesion tend to shrink by themselves with time. You may observe this on repeat CT scans.
Ok thank you, should i ask for a follow up Ct scan through my Doctor every 6 months or so? Anything i can be doing to speed up the process of having it shrink? Eat food the increases brain functions like beets, walnuts, fish etc? Or am i just being crazy.
Thanks Doc!!
Follow up scans may be done semi annually. Let us know about the update.
Avoid non vegetarian food. If you’re taking, be sure to cook it well. Avoid alcoholic beverages and smoking. These chemicals adversely effect the brain function, numbing or exciting certain areas, which is not good for you.
Thank you Doc, how about sushi? Eating Raw fish.
Better eat properly cooked food only. Raw stuff may harbor parasites/ bugs. Cooking usually destroys them. For now, taking care is essential.
Dear sir according to CT brain plain plain report the impression is old calcified granuloma in left perisylvian cortex, now my doubt is whether I need any treatment for this or not, now I am more confused.
Any symptoms? Your age? Why did you go for this scan?
Hello sir, i have a problem with sezure,after ct scan calcfied nodular granulomatous in left fronto-parieatal cortical resion,i would like to ask this is exactly what the report is about
This one appears to be an old lesion in the brain. There are chances that it shrinks further with time, to finally scar off. However, this may take time. For now, you may take medicines to control your seizures.
can calcium nodeular be cured
Sir, Can a calcified meningioma grow in size ?
In most cases, it doesn’t grow.
However, theoretically, it may grow.
So Sir should i worry for the calcified meningioma of 7mm in size ???
If you’re having any symptoms, like fits or headache, you’ll need to take medications to control them. Keeping your B.P. under normal range would be essential.
Also, you’ll need to keep a close watch (by getting regular CT scans) over it to see if or not it’s growing is size.
Sir, Regular CTs means what should be the interval ??
And Sir i dont have any severe headache but i feel some pain on my head that keeps on rotating throughout the head. What should i do ?? Morover my BP is on a bit higher side. Is this the reason for the pain or it’s because of the meningioma ??
B.P. needs to be within normal limits. This is very important in all cases of meningioma management. Cause of headache is difficult to pinpoint. Anyhow, controlling B.P. is likely to lessen it.
You may go for annual scans. That’s enough.
Thank you so much sir.
Welcome.
what is the future of a person having calcified granuloma in Lt side fronto-parietal region and preilestional oedema also. He is on regular medication of Divalproex Sodium tablets. sometimes sleeps for more than a day continuously. Speaks something abruptly between any talk related to another subject. sometimes he finds it hard to remember even small things. If works on computer or mobile for long time he feels fits of severe headache and intoxicated like feeling. is it curable or will get worse with time.
The presence of edema around the granuloma suggests that the inflammation is increasing with time. He needs treatment to combat this inflammation. Do you know the possible cause of this granuloma?
Sir i have a cyst in the brain due to which i got a adverse seizure attack and i was unconscious for quite some time. It is some 7 years back. After which given medicine. After that i again had MRI and it reads as “Calcified inflammatory granuloma with associated perilesional edema in the left parasagittal inferior ocipital lobe”.
Since than i am on the medicine of Lacoset and Eptoin. I dont have any problem other than that sometimes insee flickering light in the corner of the eye usually when i dont takr proper sleep or Food. Please suggest doctor is there any risk to me and does these medicines have any long term side effects
Well, till we see this active lesion in your brain, it would be better to take the drug.
Are you on any therapy to treat this lesion? What is the cause of this lesion?
Hello i am 28 year old and i am suffering from headche this is my MRI BRAIN CONTRAST REPORT Tiny focus of chronic microbleed with hemosiderin staining is seen in the right frontal region (To be correlated
with history of head injury)-close differential of healed calcified granuloma maybe ruled out with NCCT study
PLEASE REPLY ME
Any history of head injury or hypertension?
Left hand side head injury….my weight is also decreasing… I feel that my right side bones also shrinking… What will i do
It’s uncommon for bones to actually shrink. May be, your right sided musculature is getting affected and is giving you this feeling.
Left side of our brain supplies the right side muscles and peripheries. So, what you feel is likely to be true and needs to be further evaluated by a neurologist.
My all blood test mri brain angiography is also normal..all blood test lft, kft, stomach usg, neck usg are nomal
Hi sir! my nephew she is 6yrs old she can’t talk or not hear also daily 3 to 4 time fits also come
In the CT scan report
the impression was old healed granuloma
the doctor was advice to take tablet only
please you suggest the treatment or how the problem was control
Dear sir,
I was getting fits since 2011 at that time in CT scan every thing is normal so after 2years of medication i didn’t get anything so i have stopped medication. But after 2 years from stopping medication it was repeated then i consulted another neuro surgeon he suggested for MRI.
In that report “small calcified granuloma involving right middle frontal gyrus”.
So he suggested to use phenytoin sodium 200mg, but when i was using that medicine i was getting too much of headache but i didn’t get any fits but three days back i got stroke after 2years.
So now shall i need to continue that medicine life long or is there any cure for that please suggest me.
Thank you sir.
Till you have the granuloma, you’ll need medicines to check any chances of getting fits. In most cases, the granuloma is assessed by annual MRIs. Many of them shrink in size with time, and so, medicines may be tapered.
Dear sir,
Will it be cured by medicine,
If it can be cured by medicine how much time it requires.
Medicines only control any chances of getting fits. Your immune system would gradually act on the granuloma, shrinking it to finally disappear. You need to eat a healthy diet, rich in fruits and vegetables, to boost up your immunity. Avoid alcohol and non vegetarian food.
It may take 2 to 3 years for granulomas to shrink.
Thank you sir.
Sir, i am having a pain on my left fore-head significantly in a same area. The pain is in the same point always. What can it be ???
Any history of injury there? Your age? Do you feel nauseated while it pains? When do you get the pain and how long does it lasts?
No injury. My age is 27. I neither feel nausea nor vomiting. The pain starts at any moment and sometimes it become normal within half an hour and sometimes it remains all day long. And recently the pain also started rotating throughout the head. It also varies from left to right and vice-versa. But for most of the times its on the left side only.
Any stress or tensions you’re going through? Have you recently screened your vision (eyes) for any refractive error?
Sir, i did my eye check up recently its totally normal. Stress and tensions that are going through are basically regarding this pain only and nothing else.
May be some blood vessel in your brain becomes inflamed, giving you the pain on the left side. Such vascular pains may also shift from one place to another.
However, diagnosis requires you to visit a neurologist. Investigations may be ordered.
Hello Doctor,
I have symptoms of tingling (mostly legs and hands but sometimes other parts of body also) and some involuntary muscle spasms/twitching (prominent when i tend to fall into deep sleep but infrequent during day time). I also get some nerve throbbing in foot, thigh or neck some times. All of these symptoms started early June of this year.
A month and half before (late May of this year) I was in an auto-accident. At the time of auto-accident, I didn’t have any major issues other than minor chest bruises from airbag deployment.
I have since been diagnosed with low b12 and iron. And also Petic ulcer (not from any bacteria, such as H. Pylori. Gastroentologist thought it could be from NSAIDs and Cipro I may have taken in past. I also used to not eat any breakfast for several years).
I have since had iron infusions done and been taking b12 supplements. My current b12 levels are good (600-800) and I have an upcoming blood test to make sure iron levels are improved (and staying) from iron infusions.
In early August, an MRI without contrast was done for my head for my neurological symptoms. Nothing was found except some sinus (Ethmoind sinus mucosal thickening).
In late August, an ENT doctor put me on Biaxin (Antibitoic) to cure Ethmoid sinus. A follow-up CT Scan was done a week ago this month (September). The CT Scan found the following:
“There is a calcification noted in the left occipital lobe, nonspecific. This measures 0.9 cm. Small cavernoma is
possible although other etiologies are not excluded. Recommend MRI brain with and without contrast. ”
I just got a follow-up MRI done today and the results will be available in couple of days. I will also be seeing a Neurologist in 2 weeks.
I appreciate your valualble insight into the following:
Do you think this calcification found in CT scan could be cause for neurological symptoms?
Why was this not found in MRI done without contrast a month ago?
Could this calcification be result of Tuberculosis? I did recently also get some urinary tract infection.
Do I need to see anyone else besides Neurlogist?
Thank you for your help!
Your nerve symptoms are more likely to be related with chronic vitamin deficiencies, specifically vitamin B. As you improve on with your nutrition and over come those deficiencies, symptoms are likely to improve.
As for the granuloma, you need to follow up with a neurologist only. The cause is difficult to predict till we see the MRI reports, and correlate with symptoms. T.B. is one of the many causes of having it.
Thank you Doctor for your response. I will post my MRI results as soon as I have them for your review (they will be available in couple of days).
Hello Doctor,
Just received the MRI results. Please see below. Appreciate your thoughts and any guidance on this:
============ Results of MRI WITH and WITHOUT contrast from Sep 20th===================
“FINDINGS:
BRAIN/MENINGES:
Corresponding to the abnormality seen on the prior CT sinus is a 0.8 x 0.7 cm area of T2 signal heterogeneity,
but predominantly T2 hypointense with corresponding mild enhancement in the intra-axial left occipital lobe.
This area demonstrates susceptibility blooming artifact on the gradient sequence and is most consistent with a
small cavernoma.
The ventricles and sulci are within normal limits for age. No acute intracranial hemorrhage or vascular territory
infarct. No hydrocephalus. No white matter lesions present. No diffusion abnormality present.
CRANIAL NERVES:
Cranial nerves and basilar foramina appear normal as visualized.
PARASELLAR:
Pituitary gland, infundibulum, suprasellar cistern and cavernous sinuses appear normal.
SINONASAL:
Nasal fossa, nasopharynx and parapharyngeal fascia appear normal.
Moderate mucosal thickening is present in the bilateral ethmoid air cells. Mild mucosal thickening is present in
the bilateral frontal and bilateral maxillary sinuses.
CRANIOFACIAL:
Craniocervical junction and upper visualized cervical spine appear normal.
Orbits appear normal as visualized.
Mastoid and petrous air cells are clear.
VASCULATURE:
Vertebrobasilar and carotid/cerebral vasculature appear normal. There are no signs of vascular malformation.
Venous sinuses appear normal.
IMPRESSION:
1. Findings in the left occipital lobe corresponding to the abnormality seen on the CT sinus there is most
consistent with a 0.8 x 0.7 cm cavernoma.
2. No MRI evidence of acute intracranial abnormality.”
A small cavernoma is the only lesion evident in your MRI. It’s quite small and doesn’t appear dangerous.
Cavernomas are basically a bunch of abnormal blood vessels. The only problem associated with them is that they are susceptible to bleed.
You’ll need to keep your blood pressure within control.
Thank you! If there is anyway I can contribute back towards the service you provide please let me know.
I appreciate your help. I will follow up with any update after my neurologist visit coming in octobern1st week.
Just keep using our service!
Do update us.
Hello Doctor,
Wanted to update you. My neurologist has an EMG tes scheduled this Thursday. Also last 2 weeks I have been seeing red/orange flashes of lights in both eyes (more so when room is dark or eyes or closed). My vision is otherwise fine.
I went to opthamologist and they have ruled out retinal detachment and think it is neurological. I plan to bring it up with my neurologist when I meet him this Thursday.
Do you think the flashes in vision (mostly peripheral) could be related to the small cavernoma found in the MRI (the results of which I posted in my previous post)? Could the occiptal lobe cavernoma be causing this?
I have occasional mild and very temporary head aches but nothing like migraines. I do have mild ethmoid sinus infection that I use nasal spray for (flonase was recommended by my ENT doctor).
My neurological symptoms are better (less tingling, fewer spams and nerve throbbing) but not completely gone.
Appreciate your guidance.
Thanks,
Roshan G
Well yes. The cavernomas could be giving you those flashes.
Abstain from alcoholic beverages and smoking, if you indulge in them. Limit your intake of tea and coffee. This would help with your blood vessel health.
Thank you Doctor. I do not indulge in alcohol or smoking or soda. And I have stopped drinking coffee/tea over 3 months ago.
Is there a chance of permanent damage to the eye because of flashes from cavernoma?
Just wondering if I should puruse the path of getting the cavernoma operated on by my neurologist if it could damage my eye? Is it a better proposition to get it fixed when it is small? I did read somewhere that operation could have side effects of seizures but not sure if that applies to smaller ones also.
I plan to discuss this with my neurologist today but would appreciate your opinion on this.
In most cases, there are little chances of a person getting blind with cavernomas. However, you may discuss this issue with your neurologist, and also about the risks of getting it operated surgically.
Thank you for your response. I had an EMG test yesterday and results are due in a week. I am also scheduled for an EEG test. My neurologist is scheduling a CT Angioma test and referring me to a Neurosurgeon for Cavernoma. I will seek your guidance again as these results are available.
You are welcome.
Dear Doctor,
I’m an ICU nurse, and earlier this month, while receiving a patient back from surgery, I passed out and hit my head on the way down on an oxygen tank, or so I was told. I was taken to the Er immediately, and a ct showed calcification. My k level was 3.3, mag 2.1, phos never drawn, no prolactin level was draw, and my co2 level was 13; and in that initial blood work I was dehydrated. None of the electrolytes were corrected, and no abgs were drawn. About 2 hours post arrival to the ed, I had a clonic-tonic seizure that lasted almost 3 minutes and was witnessed by staff. I have never had a seizure or passed out before in my life! Subsequently, a f/u MRI was completed, and showed white matter edema in the left superior frontal guris, with small granulomatous calcification at the epicenter; I was diagnosed with neurocysticercosis. There was also some edema present in the left superior frontal gyrus surrounding the granulomatous calcification. The first neuro I saw said that’s probably been there my entire life, as it is calcified and explains my chronic headaches.
So my question is: is it possible that the acute fall and head injury could’ve triggered a seizure response? I find it hard to believe that if this has been here my entire life and calcified, other than headaches, that it was the cause of the seizure; is this possible?
Thank you, in advanced, for your time
Nurse4life
Why did you have that fall in the first place?
The focal lesion in your brain appears to be active. This is evident from the fact that there’s visible edema around it.
It is possible that this lesion was an old small one, giving you only headaches at time. However, at some time, it got activated due to the parasite inside it, giving an inflammatory reaction around it.
Now you need to be observant for any other symptom. Apart from treatment for neurocysticercosis, pill to control fits may be taken.
Thank you for your response.
I think I was just dehydrated. I barely ate that day, as it was a really busy day in the ICU, and I barely drank anything. It kind of felt like the way I feel after I push myself on my 10 mile runs. I simply blacked out.
Do you think there is a parasite that is active on the inside? I am working with worker’s comp doctors, and they are no good. I finally got an ID consult that they have been putting off. I have an appointment with my PCP tomorrow for a neuro consult under private insurance, and then an ID consult as well.
So do you interpret the results as an active one? The neurosurgeon I saw said that the inflammation/edema on the MRI looked like a contusion on top of the cyst. He also said that it is very likely I hit my head on that exact spot on the way down when I banged my head against the oxygen tank, and likely a second time when I hit the floor, as no one caught me on the way down. In fact, he stated that if in my f/u MRI the edema is gone, that I could stop taking the anti-epileptic medications altogether; which truly affects me in my profession. I have had to retrain my brain to get it back to speed, and it’s a constant effort for me, whereas before, I was always sharp
Do you agree with the neurosurgeon’s opinion?
If the edema goes down without anti-parasitic treatment, is it likely that the edema was caused by the contusion?
Just to be cleared, I have on keppra 250mg/po BID only; and have not had any seizures since.
Thank you for your time, once again
Also, what other symptoms should I be more vigilant of?
Thank you
You may go as per your neurosurgeon’s advice. If the edema gets better with time, without anti parasitic treatment, its likely to be caused by injury/ contusion. No further medications would be needed in that case.
You may be vigilant about getting any severe headache, nausea, loss of vision/ hearing, or fits (generalized or localized).
I am 28 yrs pls women and i have A son of 6 yrs old.
I am done test suggest by dr. MRI of brain.
But Dr. Does not clear the problem after seen MRI report. And he gives medicine for taken.
That medicines are not suitable to me.
Pls sir see my MRI report opinion : Calcified granulomas in right temporal and left occipital cortex.
And tell me meaning about granulomas and occipital cortex.
Is I am really suffering any desease. Help me me sir.
What are your symptoms/ complains? Since when do you have them?
What is the meaning of Calcified granulomas in right temporal in brain and occipital cortex in left side.
It suggests the presence of a small scar tissue in the right side of your brain tissue, towards the back. This scar tissue may have arisen after some injury, hemorrhage or focal infection there.