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Doctor replied:
Hello!
Thank you for sharing your health status.
After you have been treated for tuberculous meningitis and have been cured for 11 months, but are currently experiencing symptoms such as headaches, dizziness, difficulty walking, frequent falls and slow urination, this may be a sequela of previous tuberculous meningitis or there may be the development of other problems related to the central nervous system. Tuberculous meningitis can leave sequelae after treatment, especially if the bacteria are not completely eliminated, the tuberculosis can return.
The MRI result shows a 9x10mm white matter lesion next to the right corpus callosum, which is a very noteworthy sign. White matter lesions can lead to the symptoms you are experiencing such as headache, dizziness, difficulty walking, and slow urination. This lesion can be a sign of changes in brain structure due to previous tuberculous meningitis or new lesions.
Treatment depends on the extent of the damage and the cause of the current symptoms. If the damage is related to the sequelae of tuberculous meningitis, treatments will be aimed at improving health status, including medications to treat symptoms, rehabilitation to improve mobility and quality of life, and other supportive measures.
In some cases, if symptoms related to neurological problems do not improve or show signs of worsening, you may need additional tests to clarify the cause and treat promptly.
Therefore, you should bring films and records related to previous treatment to see the doctor directly so that the doctor can review the records and brain MRI films, thereby suggesting an appropriate treatment method.
Wishing you good health and a speedy recovery!
MD, PhD Ngo Xuan Dinh,
Head of Spinal Neurology Unit, Hoan My Dong Nai Hospital
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Source: https://baodongnai.com.vn/alo--bac-si-oi/202507/ton-thuong-nhu-mo-nao-co-chua-khoi-khong-34811b7/
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