my father is unconscious he had a operation in march of brain hematoma.. but now last week he had attacked of epilepsy and MRI shows that there is a neoplastic lesion in right posterior parietal region.. so i have to ask that what should have to do now?? is neurosurgery is risky again or there would be another option of treatment ? his age is about 60 years
Hi, Thanks for writing in. It is important to review his earlier report and then proceed with current diagnosis. A brain hematoma is an area of bleed for which he had a surgery. It is important to know if the epilepsy and neoplastic lesion on MRI are in the same area as the hematoma or at a different location. Neoplasm is a general term used to describe a tumor. Complete review of his MRI is essential and that will tell the exact size of the tumor, location (?right posterior parietal region) and the pressure effect it is causing on the brain. An electroencephalogram can also be done to know what exactly caused his epilepsy. That way we can assess if going for surgery is the best treatment or if other choices can be made. Doing another surgery is not a big risk, but it is important to know the probable nature of what is seen in the MRI and if it is related to the earlier surgery he had last year.