Sever head ache and Vomting

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Asked for Male, 32 Years

My Nephew is having severe headache and vomting we have her various tests ct scan, mri ,CSF test can any one advice what is the problem, thank you in advance

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Dr. Pranjal Pandey Neurosurgeon 17 yrs exp Noida Consult Now · Accepted Answer

Dr. Pranjal Pandey

Neurosurgeon 17 yrs exp Noida

Consult Now

Looks like either an abscess (caused due to infection) or a tumor like growth at a critical structure of brain called brainstem. The CSF analysis report and plain MRI brain report are not correlating well. This is not very unusual. I would recommend an additional contrast study along with Magnetic Resonance Spectroscopy of the lesion. Additionally a workup for tuberculosis should also be undertaken. I recommend to take a proper neurosurgery consult and follow the neurosurgeon's advise. The patient may require an operative intervention for the lesion +/- a procedure to drain fluid of the brain which is getting accumulated due to obstruction in the fluid pathway by the lesion.

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