Neurocysticercosis

Synonyms:

Taenia solium (pork tapeworm)

Diagnosis:

Imaging plus clinical features

Clinical features:

Seizures,
Meningitis may occur

Findings on Investigations:

MRI:

  • T1 +contrast: multiple ring enhancing lesions with edema
  • T1, punctuate signal void
  • FLAIR: hyperintensity (gliosis) surrounds the lesions

CT:

  • Multiple calcified lesions +/-surrounding edema
  • Migrating intraventricular cyst
  • +positive serology for neurocysticercosis

Treatment:

Albendazole 800mg P.O. daily [RCT]
Antiepileptics for seizures.
Consider steroids

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