Neurocysticercosis - granular nodular

Discussion:

Biopsy proven neurocysticercosis. The radiological features demonstrated in this case are strongly suggestive to neurocysticercosis: small cystic lesion with a scolex within. 

Remember that neurocysticercosis has four recognized stages:

  1. vesicular - visible parasite with little or no inflammation
  2. colloidal vesicular - the parasite begins to degenerate (dead) and surrounding edema and inflammation is usually present
  3. granular nodular - scolex is mineralized, cyst walls thicken and inflammatory process decrease
  4. nodular calcified - completely mineralized with no inflammation 
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