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NEUROLOGY 2006;66:E13
© 2006 American Academy of Neurology
Resident and Fellow Page

Extensive brain and muscular cysticercosis

Bejoy Thomas, MD, DNB and Thamburaj Krishnamoorthy, DM

From the Department of Imaging Sciences and Interventional Radiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India.

Address correspondence and reprint requests to Dr. Bejoy Thomas, Department of Imaging Sciences and Interventional Radiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Trivandrum, Kerala, India 695011; e-mail: drbejoy2002{at}yahoo.com

A 36-year-old man presented with altered behavior of 3 months’ duration with recent onset of headache and seizures. Neurologic examination revealed features of raised intracranial pressure. MRI of the brain demonstrated multiple small parenchymal cystic lesions, some with scolex (figure, A, thick arrow), and with variable perilesional edema on T2-weighted studies. There were also multiple cysts in the temporalis muscles bilaterally (figure, A, thin arrows) and also in the thigh muscles (figure, B). Patient was from an area endemic for cysticercosis. Neurocysticercosis is a common parasitic infestation in developing countries and both the clinical and MRI diagnostic criteria are well established.1,2


Figure 154
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  		Figure. (A) T2-weighted axial Fast Spin Echo (FSE) shows cerebral parenchyma studded with cysticercal cysts, some with scolex (thick arrow). Note also the multiple cysts in the temporalis muscles (thin arrows). (B) T2-weighted coronal FSE through the thigh shows muscles studded with the parasitic cysts.

 

Footnotes

Disclosure: The authors report no conflicts of interest.

References

  1. Del Brutto OH, Rajshekhar V, White AC Jr, et al. Proposed diagnostic criteria for neurocysticercosis. Neurology 2001;57:177–183.[Abstract/Free Full Text]
  2. Bhigjee AI, Sanyika C. Disseminated cysticercosis. J Neurol Neurosurg Psychiatry 1999; 66:545.[Free Full Text]




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