my brother (Age 27 years,mechanical Engineer) had a brain haemmoraigh(left pereito-temporol vascular insult) with partial left transverse sinus thrombosis before 2 and half months and after treatment he is perfectly fine and all his body parts , brain memory is perfect(CTA and MRI done and it is clear now). Doctors till now could not find the reason behind the attack. They have started the medicine of Brain TB on suspicion but there is no diagnisis as all the test for TB e.g. CBF is TB negative. My brother has no medical history, no high blood pressure no sugar nothing.
Only thing is he took H1N1 vaccination 2 month before this attack. Please guide me what could be the reason so that we take precaution and the attack does not repeat.
medicie now being given INH 300mg, Prednisolone 15 mg, Pyridoxine, Moxifloxacine, clarithromycine, amikacine.
I think we have discussed this case earlier too...At that time you had not mentioned the venous thrombosis perhaps..
Venous sinus thrombosis can occur due to tobacco use,certain congenital absence of proteins like prt c,s etc..These can be done alongwith a carotid angiogram..Tuberculosis as a cause of thrombosis is unlikely except if you have had contact with sush a oerson or ESR IS HIGH OR MANTOUX TEST IS POSITIVE..Still if some physician has made the diagnosis its better to continue as he is improving with it..In the list of antitubercular drugs,Moxiflox has been added which is third line of drug especially for resistant tb.you can discuss its use with the physician and gradually the drugs can be tapered to 2 or three...
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