Neurocysticercosis
Updates to Case Attributes
Neurocysticercosis (NCC) is a parasitic disease of the central nervous system (CNS) in humans 1,2,3, and an important cause of acquired epilepsy in the developing world, especially Latin America, India, Africa, and China 1.
This case presented a definitive diagnosis of the disease based on the presence of one absolute criterion (an imaging exam revealing a cystic lesion with scolex). It also demonstrates typical features of all stages of neurocysticercosis (vesicular, colloidal vesicular, granular nodular, and nodular calcified 3), and characterizes the evolutionary aspects of NCC lesions' appearance over time.
The patient`s treatment was with an antiparasitic, ( Albendazole 400mg 12 / 12h).
Case courtesy
- Erick Cavalcante, MD - PGY-3, Radiology Resident, Department of Radiology
- Antonio Rodrigues de Aguiar Neto, MD - Radiologist, Department of Radiology
- Hospital da Restauração – Recife, PE – Brazil
-<p><a href="/articles/neurocysticercosis-ncc">Neurocysticercosis (NCC)</a> is a parasitic disease of the central nervous system (CNS) in humans <sup>1,2,3</sup>, and an important cause of acquired epilepsy in the developing world, especially Latin America, India, Africa, and China <sup>1</sup>.</p><p>This case presented a definitive diagnosis of the disease based on the presence of one absolute criterion (an imaging exam revealing a cystic lesion with scolex). It also demonstrates typical features of all stages of neurocysticercosis (<strong>vesicular</strong>, <strong>colloidal vesicular</strong>, <strong>granular nodular</strong>, and <strong>nodular calcified</strong> <sup>3</sup>), and characterizes the evolutionary aspects of NCC lesions' appearance over time. </p><p><strong>Case courtesy</strong></p><ul>- +<p><a href="/articles/neurocysticercosis-ncc">Neurocysticercosis (NCC)</a> is a parasitic disease of the central nervous system (CNS) in humans <sup>1,2,3</sup>, and an important cause of acquired epilepsy in the developing world, especially Latin America, India, Africa, and China <sup>1</sup>.</p><p>This case presented a definitive diagnosis of the disease based on the presence of one absolute criterion (an imaging exam revealing a cystic lesion with scolex). It also demonstrates typical features of all stages of neurocysticercosis (<strong>vesicular</strong>, <strong>colloidal vesicular</strong>, <strong>granular nodular</strong>, and <strong>nodular calcified</strong> <sup>3</sup>), and characterizes the evolutionary aspects of NCC lesions' appearance over time. </p><p>The patient`s treatment was with an antiparasitic, ( Albendazole 400mg 12 / 12h).</p><p><strong>Case courtesy</strong></p><ul>
Updates to Study Attributes
The patient`s treatment was with antiparasitic, Albendazole 400mg 12 / 12h. During the patient’s follow-up after treatment, he did a new brain MRI with an interval of six months from the first one, which revealed the evolution of the brain lesions. There are cysts in various stages, most of them in the vesicular stage with scolex; some few degenerating cysts in the vesicular colloidal and rare in the granular nodular stages; there are also rare lesions in the nodular calcified stage.
The degenerating cyst located in the right superior frontal gyrus and ipsilateral centrum semiovale, which was giant in the previous exam, showed retraction with reduction of the size and it is now an irregular sphere, with less surrounding edema compared with the previous MRI. This cyst is progressing from the vesicular colloidal stage to the granular nodular stage.
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