Neurocysticercosis

Case contributed by Dr Chris O'Donnell

Presentation

Young man with known cysticercosis presents with epilepsy ? cerebral involvement

Patient Data

Age: 30
Gender: Male
MRI

CT scan showed minor oedema but no calcification in the left occipital lobe ? cause

Slightly T1 hyperintense, T2 hypointense mass (arrrow) showing minimal susceptibility artefact, i.e. cacification and surrounding vasogenic-type oedema without restriction of diffusion at the grey/white matter junction of the left occipital lobe. Minimal mass effect.

Case Discussion

The cyst as it degenerates and dies, sets up an inflammatory reaction that can act as an epileptic focus. Once dead and calcified these lesions are less likely to cause epilepsy and are often an incidental finding on CT brain performed for another clinical reason.

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Case information

rID: 29040
Case created: 28th Apr 2014
Last edited: 20th Nov 2015
Inclusion in quiz mode: Included

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