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Seizures for 5 years, no past history of tuberculosis.
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Multiple ring-enhancing lesions with few showing eccentric dot within (suggestive of scolex) noted in both supratentorial and infratentorial location. There is perifocal edema.
See the selected postcontrast images showing a cyst with dot sign in left frontal lobe.
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This case illustrates typical features of Neurocysticercosis (NCC) in colloidal vesicular stage. Cyst with dot sign can be noticed in a few sections. Patient was started on Albendazole, Phenytoin and Dexamethasone and showed improvement in a few weeks.
- 1.Noujaim SE, Rossi MD, Rao SK et-al. CT and MR imaging of neurocysticercosis. AJR Am J Roentgenol. 1999;173 (6): 1485-90. doi:10.2214/ajr.173.6.10584787 - Pubmed citation