MyPACS.net: Radiology Teaching Files > Case 19218

never visited 25 YO HISPANIC FEMALE WITH SEIZURES
Contributed by: Virginia Mason Medical Center, Virginia Mason Medical Center, Washington, USA.
Patient: 25 year old female
History: 25 yo Hispanic female immigrant with seizures
Images:[small]larger

Fig. 1
Findings: Scattered 1-2cm cystic areas and areas of coarse calcification in the brain parenchyma (actually deep in a sulcus)
Diagnosis: Neurocystocersosis
Discussion:

Neurocystocercosis is caused by infection of humans by the pork tapeworm, taenia solium. It can be acquired by eating infected and undercooked pork, or in other foods prepared by an infected individual who has failed to wash their hands or kitchen equipment.

The worm larva moves to the brain parenchyma (actually deep within a sulcus) where it encloses itself in a 1-2 cm cyst. Unable to complete its life cycle in a humna host, the larva dies. This leads to an inflammatory reaction and seizures, and later to calcifications.

This patient demonstrates both cysts and calicifications, indicating repeated infections.

References: Primer of Diagnoostic Imaging, p. 512
Comments:
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Additional Details:

Case Number: 19218Last Updated: 06-23-2002
Anatomy: Cranium and Contents   Pathology: Infection
Modality: CTExam Date: 11-23-2001Access Level: Readable by all users
Keywords: neurocystocercosis

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