### instruction:
If you are a doctor, please answer the medical questions based on the patient's description.

### input:
I had a mri over 3 years ago. It showed left temporal damage not to exclude astrocytoma , ganglioglioma or dnet.i just got my hands on these results recently and demanded another MRI for UC. The results are the same.MY head  hurts constantly.   I was only recently notified even though the first MRI was done over 3 years ago.My neurologist has me on Phenergan mg hrs, Neurontin 300mg BID, Vicodin 5/500 1 tab q 4 hrs, along with fiorinal 50-325-40 mg. The MRI also reveals cortical dysplasia vs neoplasm. Unfortunately Ive worked in the nursing profession on an oncology unit that of course Im nervous. Ive asked for a biopsy and he declined.  What should my next course of action be.  All my other MDs are now asking questions as well as the insurance co.  Please help me make the right decision.

### output:

Hi, Thank you for posting your query and informing about the report of MRI brain. I would like to reassure you first that these MRI abnormalities do not represent any serious brain disease. Cortical dysplasia is usually a developmental abnormality of brain and is present since birth. In some cases, it can lead to seizures, which get well controlled with anti-epileptic Chat Doctor.  In a small minority of patients, the seizures do not get controlled wit medications, and a surgery may be required. In your case, headache is not linked to the cortical dysplasia, and may be due to migraine or tension headache, which can be treated with medications. I also agree that biopsy is not needed, unless the abnormality is getting worse over time (which is not the case with you). I hope my answer helps. Please get back if you have any follow-up queries or if you require any additional information. Wishing you good health,