Conversation: The conversation between human and AI assistant.
[|Human|] I had an mri done 6 months following a head injury to the left of my head and found nothing but a calcified granuloma at the left junction of the temporal lobes which I thought was the reason for the terrible headache I had,  I was prescribed some very less medicines for a month and it went well. But now its almost been a year and I have headaches Lasting Months without any improvement. What could be it?
[|AI|]  Hello thanks for asking from ChatDoctorCalcified granuloma in brain can occur due to a number of findings. Neurocysticercosis, Tubercular granuloma, granuloma due to old injury etc. are common causes. In most cases calcified granuloma doesn't result in severe symptoms and individuals may suffer mild headaches. But in some individuals it may cause terrible headaches by compression of adjacent structures or may result in seizures or some neurological complication. You have calcified granuloma in temporal lobe and is causing headache so should not be ignored. Consult a neuropsychiatric for treatment of headache. If on MRI there is evidence of edema near granuloma then steroids should be given for short duration to reduce edema. For headache medicines like Amitriptyline, Nortriptyline, Phenytoin, carbamazapine etc. can be used. These medicines can help to relieve headache. For severe headache associated with seizures anti-convulscents can be used. Visit a doctor for detailed evaluation and prescription. Thanks, hope this helps you.