Case contributed by Pradosh Kumar Sarangi
Diagnosis almost certain


Seizures for 5 years, no past history of tuberculosis.

Patient Data

Age: 20 years
Gender: Male

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.

Case Discussion

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.

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