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Asking For Other, Female 60, Burewala
Complains of headache History Of TB *CT Brain Plain Report * - 3.4 x 2.8 cm heterogeneous lesion in the right thalamus with surrounding edema - Significant mass effect with 9.3 mm midline shift to the left - Radiologist impression: Suggestive of infective process/abscess. Advised biopsy & histopathology for exact diagnosis
*Current Concerns:* 1. Is this an emergency requiring urgent admission or surgery? 2. What further tests are needed – MRI, TB workup, biopsy? 3. Is it safe to keep her at home on oxygen until she sees a neurosurgeon, given the midline shift and right-sided weakness? 4. What immediate steps should we take?
sterotactic biopsy for fiagnosisis and further managment.
1- biopsy should be done. 2- MRI brain with contrast. 3- hospital admission . 4- urgent MRI brain should be done and hospital admission
please visit the neurosurgery department and patient needs a MRI brain with contrast and further treatment accordingly
Yes it’s a surgical emergency MRI, Biopsy are needed. The patient should be admitted urgently in a hospital setting so Rush to ER of a tertiary care hospital like Mamji hospital Karachi and get her admitted under my care if you are from Karachi for possible need of Surgery
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Better to take biopsy earlier and start treatment accordingly.
MRI Brain e IV contrast e DWI protocol
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