A dear friend of mine is a missionary in India has recently had a CAT scan, which found a gliosis (a frontal lobe r/h brain injury). He does not know what this is and also needs to know what the next steps should be.
As I said, he is a missionary and is located in a very remote village in India. Any suggestions you may have will be greatly appreciated!
Thank you for all the wonderful work you do in this forum!
Gliosis is a nonspecific term we use to describe brain tissue that is reactive to any kind of brain lesion like tumor, infection, brain surgery, stroke, or trauma. If he does not have any history of brain trauma or surgery, he should consider getting an MRI with contrast especially if he has leg weakness opposite to the side of the "gliosis", severe headaches, or behavioral changes. But as he is in a rural area and does not have access to a major medical facility, I would have him mail a copy of the CT to the U.S. to have it read by an neuroradiologist in the states. If he absolutely can't get an MRI, then the next step would be a CT scan with contrast. (same thing he had except with dye) But be careful, the dye requires an IV be placed so make sure the needle is clean and sterile. This is an important consideration when you are being cared for by a rural hospital in a third world country. Best of luck to your friend.
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