EURORAD ESR

Case 15521

Racemose neurocysticercosis

Author(s)
Laura Koren, Patricia Martín, Carlos Fernández Cabrera, Elena Salvador, Amaya Hilario, Ana Ramos

Hospital Universitario 12 de Octubre, Hospital Universitario 12 de Octubre, Radiology; avenida Cordoba s/n Madrid, Spain; Email:laura.koren.f@gmail.com
 
Patient
male, 32 year(s)
 
 
  • Figure 1
    CT
     

    Contrast-enhanced axial CT showed enlargement of the subarachnoid space at the interhemispheric fissure. There was a lobulated cystic lesion without contrast enhancement and with no mass effect on the anterior...

     
    Area of Interest: Neuroradiology brain; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Infection;

    Contrast-enhanced axial CT showed enlargement of the subarachnoid space at the interhemispheric fissure. There was a lobulated cystic lesion without contrast enhancement and with no mass effect on the anterior...

     
    Area of Interest: Neuroradiology brain; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Infection;

    Contrast-enhanced axial CT showed enlargement of the subarachnoid space at the interhemispheric fissure. There was a lobulated cystic lesion without contrast enhancement and with no mass effect on the anterior...

     
    Area of Interest: Neuroradiology brain; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 2
    MRI sagital T1 WI

    Sagittal T1WI showing multiple cystic lesions in the pericallosal anterior space deforming the corpus callosum.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 3
    MRI
     

    Axial T2 WI showed space-occupying lesions of CSF signal intensity in the interhemispheric fissure. Frontal cortex is displaced and there is mass effect on the knee of the corpus callosum.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Infection;

    Axial T2 FLAIR WI showed cysts in the interhemispheric fissure with a cyst content similar to CSF. Frontal cortex is displaced but there is no surrounding oedema.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Infection;

    Axial T1 WI with gadolinium showed no enhancement of the cyst's walls.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 4
    MRI
     

    Axial 3DT2 WI showed cysts in the interhemispheric fissure one of them containing a small solid nodule representing a scolex.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Infection;

    Axial T2 WI showed cysts in the interhemispheric fissure with a cyst content similar to CSF. Scolex is not visible in this sequence.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Infection;

    Axial T1 WI with gadolinium showed subtle contrast enhancement of the scolex and the cyst's walls that contain it.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
  • Figure 5
    Follow-up MRI
     

    Sagittal T1 WI showed complete disappearance of the cysts after treatment.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Infection;

    Axial 3DT2 WI showed complete disappearance of the cysts after treatment.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Infection;

    Axial T2 WI showed complete disappearance of the cysts after treatment.

     
    Area of Interest: Neuroradiology brain; Imaging Technique: MR; Procedure: Diagnostic procedure; Special Focus: Infection;
     
     
Contrast-enhanced axial CT showed enlargement of the subarachnoid space at the interhemispheric fissure. There was a lobulated cystic lesion without contrast enhancement and with no mass effect on the anterior cerebral arteries.
 
Contrast-enhanced axial CT showed enlargement of the subarachnoid space at the interhemispheric fissure. There was a lobulated cystic lesion without contrast enhancement and with no mass effect on the anterior cerebral arteries.
 
Contrast-enhanced axial CT showed enlargement of the subarachnoid space at the interhemispheric fissure. There was a lobulated cystic lesion without contrast enhancement and with no mass effect on the anterior cerebral arteries.
 
Sagittal T1WI showing multiple cystic lesions in the pericallosal anterior space deforming the corpus callosum.
 
Axial T2 WI showed space-occupying lesions of CSF signal intensity in the interhemispheric fissure. Frontal cortex is displaced and there is mass effect on the knee of the corpus callosum.
 
Axial T2 FLAIR WI showed cysts in the interhemispheric fissure with a cyst content similar to CSF. Frontal cortex is displaced but there is no surrounding oedema.
 
Axial T1 WI with gadolinium showed no enhancement of the cyst's walls.
 
Axial 3DT2 WI showed cysts in the interhemispheric fissure one of them containing a small solid nodule representing a scolex.
 
Axial T2 WI showed cysts in the interhemispheric fissure with a cyst content similar to CSF. Scolex is not visible in this sequence.
 
Axial T1 WI with gadolinium showed subtle contrast enhancement of the scolex and the cyst's walls that contain it.
 
Sagittal T1 WI showed complete disappearance of the cysts after treatment.
 
Axial 3DT2 WI showed complete disappearance of the cysts after treatment.
 
Axial T2 WI showed complete disappearance of the cysts after treatment.
 
 
 
Home Search Sections Teaching Cases History FAQ Case Archives Contact Login Disclaimer Imprint Switch to MOBILE version
View desktop version