Neurocysticercosis

Discussion:

There are a number of radiological findings compatible with a diagnosis of neurocysticercosis.

The brain lesions are primarily in the vesicular stage, with the left precentral gyrus lesion in the vesicular colloidal stage. This also correlates with the focal onset described in the clinical history.

Small oblong muscular "rice-grain" calcifications are also a manifestation of parasitic infection.

The patient was of south east Asian origin, where neurocysticercosis is the most common cause of seizures in young adults in endemic regions.

Further history revealed a history of unmanaged epilepsy, and serology tests were positive for Taenia solium. Anti-parasitic medication, as well as anti-epileptics and short course steroids were commenced.

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