Active neurocysticercosis before and after therapy

Case contributed by Dr Michael P Hartung

Presentation

Two year history of convulsions.

Patient Data

Age: 55 years
Gender: Male

Scattered small parenchymal calcifications. 

Multiple parenchymal and subarachnoid cysts with small hyperdense "dots". 

No significant edema or midline shift. 

CT

3-months after therapy

Cysts have resolved and only thin enhancing wall with hyperdense material remains. Some sites are resolved or barely perceptible. 

No significant edema. 

Case Discussion

Presentation features active vesicular neurocysticercosis with the "hole with a dot" appearance, where the dot represents the small scolex. The cysts are within the parenchyma and subarachnoid spaces. There are also more chronic findings of calcified nodular disease. 

Following therapy, the cysts have resolved and several sites are difficult to detect any residual abnormalities. In the right frontal lobe, the enhancing wall with hyperdense material remains without surrounding edema. 

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Case information

rID: 71710
Published: 18th Oct 2019
Last edited: 18th Oct 2019
Inclusion in quiz mode: Included
Institution: Diospi-Suyana Hospital

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