Neurocysticercosis in a young Indian male

Abstract

A 33-year-old Indian male was hospitalised for a 3-day history of headache and left lower limb weakness in December 2014. He had experienced no fever or seizures. He had visited New Delhi, India, the year before. Physical examination revealed the patient to be fully conscious with left lower limb monoparesis. There was no sensory deficit. Computed tomography (CT) revealed a superior parietal intraaxial lesion with a calcified focus (Fig 1a). Magnetic resonance imaging (MRI) delineated a 2 x 1.5 x 1.5 cm circumscribed hypointense cystic lesion with a contrast-enhancing wall and an eccentric intracystic signal with perilesional oedema (Figs 1b to 1d). Differential diagnoses included neurocysticercosis, brain abscess, brain metastasis, and malignant glioma. Craniotomy for excision was performed PICTORIAL MEDICINE

The role of surgery in the management of neurocysticercosis

“…1,2 Recent advances in our understanding of this disease have guided physicians in the diagnosis of NCC based on epidemiological, radiological, and clinical data. This has greatly diminished the role of diagnostic surgery, typically limited to cases of atypical solitary cysticercus granuloma.…”