Tiredness, dizziness, balance problems and sensitivity to noise and light. MRI shows hypersensitivity in right frontal lobe. What is the cure?
Patient: Hi I am 38yr old female 59kg 164cm. I was diagnosed with menieres 12 yrs ago but more recently for the past 6 months have had chronic tiredness, 24/7 dizziness and off balance, sensitivity to noise and light and some nausea. All of these symptoms have been a constant everyday. I also just had an MRI and it noted an intermediate rounded focus of hyperintensity in right frontal lobe. Doctor: your symptoms of dizziness and balancing difficulties and sensitivity to noise associated with nausea go in favour of menieres. are you still using any medications or stopped? if not kindly restart the medications. how is your hearing ? have you been to any ENT surgeon / Neurologist recently? do you have any headache associated with it? if so if the headache is associated with sensitivity to noise, light and some nausea it may probably be due to migrane also. do you get relief from headache from these complaints after sleeping for some time? you mentioned that there is a rounded focus of hyperintensity in right frontal lobe on MRI - is it on T1W or T2W image pls clarify.is there any mass effect or midline shift on MRI ? what is the size of lesion?if the size is small and no mass effect and midline shift nothing to worry emergently but i suggest you consult a neurosurgeon as early as possible because this may be due to a solitary lesion in the brain may be abscess / granuloma/ tuberculoma/any glioma/ infarct. but the MRI findings should be correlated clinically. hence i sugesst you to consult a neurosurgeon meanwhile take tablet vertin 16mg BD, cinnarzine 25mg OD, tablet paracetomal (dolo 650mg) thrice a day.