EURORAD ESR

Case 11375

Adult onset seizures in a patient with neurocysticercosis

Author(s)
Sohail Iqbal1, Muhammad Asim Rana2, Mureed Hussain3, Souhyb Masri1, Mohammed A T Al-Dabbagh1, Mohammed A Cheema1, Abdul Hameed3, Ahmed F Mady2, Emad El-din Al-Thamer2, A-Aziz Al-Mosabihi2

(1) Colchester General Hospital,
Colchester, CO4 5JL, England
Email: drsohailiqbal@yahoo.com

(2) King Saud Medical City,
Riyadh, Kingdom of Saudi Arabia

(3) Tameside General Hospital,
Ashton under Lyne, OL6 9RW, England
 
Patient
male, 25 year(s)
 
 
  • Figure 1
    Neurocysticercosis
     

    Multiple low attenuation lesions with hyper-dense nodule in left frontal lobe.

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Computer Applications-Detection, diagnosis; Special Focus: Cysts;

    Multiple lesions with mild oedema in left hemisphere.

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Computer Applications-Detection, diagnosis; Special Focus: Cysts;
     
     
  • Figure 2
    Hydrocephalus
     

    Mildly dilated ventricles with sub-ependymal oedema. Multiple small cystic lesions with calcified mural nodules are also seen.

     
    Area of Interest: Head and neck; Imaging Technique: CT; Procedure: Computer Applications-Detection, diagnosis; Special Focus: Cerebrospinal fluid;

    T2W axial image showing a small high signal cystic lesion with low signal mural nodule in right frontal lobe. Incidental ventricular air secondary to recent shunt placement.

     
    Area of Interest: Head and neck; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Cerebrospinal fluid;

    FLAIR image, CSF signal 3 scattered intracerebral cystic lesions with mild hydrocephalus

     
    Area of Interest: Head and neck; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Cerebrospinal fluid;

    Axial FLAIR image showing lesions and cerebral oedema bilaterally

     
    Area of Interest: Head and neck; Imaging Technique: MR; Procedure: Drainage; Special Focus: Oedema;
     
     
  • Figure 3
    Neurocysticercosis cysts
     

    Sagittal MR image with parieto-occipital lesions.

     
    Area of Interest: Head and neck; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Cysts;

    Axial T2W images scattered lesions and oedema in the frontal lobes

     
    Area of Interest: Head and neck; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Cysts;

    FLAIR image with bilateral hypo-intense lesions

     
    Area of Interest: Head and neck; Imaging Technique: MR; Procedure: Imaging sequences; Special Focus: Cysts;
     
     
Multiple low attenuation lesions with hyper-dense nodule in left frontal lobe.
 
Multiple lesions with mild oedema in left hemisphere.
 
Mildly dilated ventricles with sub-ependymal oedema. Multiple small cystic lesions with calcified mural nodules are also seen.
 
T2W axial image showing a small high signal cystic lesion with low signal mural nodule in right frontal lobe. Incidental ventricular air secondary to recent shunt placement.
 
FLAIR image, CSF signal 3 scattered intracerebral cystic lesions with mild hydrocephalus
 
Axial FLAIR image showing lesions and cerebral oedema bilaterally
 
Sagittal MR image with parieto-occipital lesions.
 
Axial T2W images scattered lesions and oedema in the frontal lobes
 
FLAIR image with bilateral hypo-intense lesions
 
 
 
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