Got partial syncope. MRI report shows presence of tuberculoma. Worried and confused. Medical cure for this?
Patient: My father is 66 years old. 2 and half week ago he got partial syncope. Left side of his body had been partially paralyzed for few minutes but his face and brain were working normally. MRI report shows accumulation of mass in his brain due to the infection of Tuberculosis Germ; it says it is tuberculoma in his brain. One of the doctors we have consulted confirmed it and prescribed the following medicines.•     Levipil  500 – 3 times a day•     Eptoin  100 – 3 times a day•     Telma  40 – 1 time a day•     R-Cinex  450/300 – 1 time a day•     Pyzina 500 – 2 times a day•     Benadon  -  ½ tab 1 times a day•     Prednisolone 40  – 1 time a day•     Becozinc  –  1 time a day•     Razo  D – 1 time a dayBesides the above medicine my father regularly takes the following medicines for his heart disease and urinal problem.•     Prolomet XL 25 – 1 time a day•     Ecosprin AV 75 – 1 time a day•     Veltam F – 1 time a dayFew days ago I have consulted another doctor who told me that it may be happened due to Tapeworm infection and the disease may be Cysticercosis.We are now worried and confused. We need your kind suggestion. Doctor: Hi,Thanks for your query.Tuberculoma is a now not an uncommon manifestation of tuberculosis. Usually it presents as mass occupying lesion causing focal neurological deficits. MRI usually helps in diagnosing the condition. Neurocysticercosis may have similar manifestation but there is slight different characteristics on MRI. I think you must continue with your therapy and look whether symptoms are improving or not.If you are strongly concerned meet your radiologist and get it clarified what is more suggestive of tuberculoma or neurocysticercosis?Best wishes