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Altered Behaviour- Speech Slurrness

2023-06-02 08:17:36
68 year old male- Currently undergoing Immunotherapy ( Pembrolizumab 200 mg inj.on 3 weekly basis ) after Radiation and Medical therapies. Metastatic Renal Cell Carcinoma S/P Excision of Left Frontal Metastasis on October 2019. Last PET Scan 3 months back showed stable disease in bones and nodes. Patient is stable and active,  but since last 3 days having Slurness in speech and difficulty to recall things. Impression of a CT scan taken today is attached. Seeking your valuable suggestions.
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You should get an mri brain contrast to look for new lesions and to differentiate with radiation necrosis. Consult your neurosurgeon. A low dose of steroids might benefit him and improve his speech. He should do well.

Answered2023-06-02 09:05:35

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