Patient: healed tuberculous meningitis with calcified spots compressing cerebral nerves causing convulsions Description: 34 years old, severe cold in December 2004, then weakness and cough, found to have tuberculous meningitis in January 2005. The symptoms of convulsions and convulsions appeared again on December 21, 2013; the symptoms of convulsions and convulsions and weakness appeared in the morning of March 16, 2014. On January 23, 2013, the brain CT examination showed that the bilateral cerebral hemispheres were symmetrical, with clear corticomedullary boundaries, and the right frontal lobe showed multiple nodular-like dense shadows, surrounded by lamellar slightly hypointense shadows; the midline structures were centered; the ventricular system did not show significant enlargement, and the cerebral sulcus and brain pool did not show significant abnormalities; the subcurtain structures did not show significant abnormalities. The bone window showed no significant abnormalities in the skull bone. Hope to provide help: The calcification point after the nodal brain healing presses on the brain nerve causing convulsions, the calcification point is in the right frontal lobe, the doctor recommends taking lamotrigine for life, is there a more effective cure without side effects? Liu Xiaoying, Attending Physician, Department of Neurology, Shanghai Ruijin Hospital: It is recommended to take carbamazepine or lamotrigine for a long time. It is considered to be the sequelae of nodular brain, which is related to the calcification of frontal lobe. However, 24-hour ambulatory EEG also needs to be perfected. For other treatments, surgery can be considered, but it is likely to require a larger resection and more sequelae. So the side effects of medication are relatively less. If you are worried about the side effects of drugs, you can use newer drugs such as lamotrigine or levetiracetam, which have relatively less side effects. The main concern with lamotrigine is allergy, and if a rash appears, the drug must be stopped immediately.