Presentation
History of seizures and headache since 1 month. No other complaints or neurological deficits.
Patient Data
Multiple sub-centimetric ring-enhancing cystic lesions scattered throughout the bilateral cerebral, cerebellar hemisphere, and deep nuclei. They appear hypointense on T1W FLAIR and hyperintense T2W and T2 FLAIR images. Perilesional edema seen around some of these lesions causing mass effect on the adjacent neuroparenchyma.
Case Discussion
Neurocysticercosis is caused by infection with the tapeworm. It is common in developing countries where pigs are raised. It is a common cause of seizures in endemic areas 1. It consists of four stages: vascular, colloid vesicular, granular nodular, and nodular calcified 2. It can occur anywhere in the brain and is typically less than 1 cm in size.
The differentials are cerebral metastasis, pyogenic cerebral abscesses, and tuberculomas 2. This case has the typical "starry sky appearance" 3.
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