HomeAnswersNeurosurgerycerebellar dysfunctionWhat are the treatment options for a cerebellar lesion?

My mother was diagnosed with a lesion in the cerebellum. Kindly suggest the best treatment option.

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Medically reviewed by

Dr. Preetha. J

Published At October 7, 2020
Reviewed AtJune 29, 2023

Patient's Query

Hi doctor,

I am a doctor, and my mother, 84 years old, is hypertensive and diabetic. She had a minor head injury two weeks ago, after two days, she developed dizziness and nausea. We had an MRI, which showed a cerebellum lesion. She was treated for breast cancer about five years ago, and uterus cancer only with surgery for about seven years ago. She has been losing weight for the last two months. She had some dizziness for more than a year, but now it is much worst to the extent that she needs aid while walking; there are no localized neurological signs and no vertigo; GCS (Glasgow Coma Scale) is 15. I want a neurosurgeon to look at the images and advice for the best treatment and the possibility of treating her at home due to the Coronavirus. She currently takes Lisinopril and does lab investigations like FBC (Full Blood Count), LFT (Liver Function Test), and Us (Ultrasound) and Es (electric Stimulation), which all are normal.

Hello,

Welcome to icliniq.com.

I am considering the history of cancer of the breast and uterus. There are chances that this cerebellar lesion might be a metastasis.

I think she would require a detailed evaluation. PET-CT (Positron emission tomography-computed tomography) and CECT (Contrast-enhanced computed tomography) abdomen and thorax to rule out other metastasis and the status of the primary disease. And as the cerebellar lesion is significantly significant, it would require surgery. PET-CT would be of significant prognostic value. If there are other lesions, then the prognosis is terrible. But if it is solitary brain metastasis, then it indicates a relatively better prognosis. I think you should consult a neurosurgeon on semi-emergent bases. Unfortunately, this is slightly a tricky situation due to COVID-19.

I hope she gets well soon.

Thank you.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Solanki Chirag Natwarbhai
Dr. Solanki Chirag Natwarbhai

Neurosurgery

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