Neurocysticercosis

Case contributed by Italo Cavallo Bermudes
Diagnosis certain

Presentation

Seizures.

Patient Data

Age: 35 years
Gender: Female
ct

Multiple cortico-subcortical cystic lesions and the presence of small cortical calcifications.

mri

Multiple CSF-density non-enhancing cystic lesions located in the parenchyma and inside the fourth ventricle, with hyperintense scolices (cyst with dot sign), consistent with the vesicular stage of neurocysticercosis.

Case Discussion

Neurocysticercosis is the most common infection of the CNS. Seizures are the most common presentation. It has four types of presentation: parenchymal, subarachnoidal, intraventricular and mixed. The evolution of the infection has four stages: vesicular, colloid vesicular, granular nodular, and nodular calcified.

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