Dr. Manorama Rajan (Neurology) needs a second opinion on this medical case.
42 yr ,M, presented with one episode of left sided focal fit starting from left lower limb on 26 th of last month.Focal fit lasted for 10 mts and he developed left sided weakness soon after the fit. SINCE THEN HAVING ALMOST CONTINUOUS IRRITATING TYPE OF HEADCACHE ON THE RT SIDE OF HEAD. No vomiting.
No previous history of seizures or any medical illness.
On exam vitals stable. Normal higher functions and speech . Normal optic fundi. Mils obliteration of left nasolabial fold. Motor system gr 3/ 5 left side with DTRs +++,with rxyensor plantar lt side . Intact sensations.
What abnormality in theMRzi brain?