Calcified Enhancing Solitary Cysticercus Granuloma causing Focal Seizures


SWI MRI image showing calcified cysticetrcus granuloma
T1W ;Post-contrast MRI showing enhancement in the lesion
T1W POST CONTRAST MRI: Note the scolex in the center as well as enhancement of the granuloma

Solitary cysticercus granuloma (SCG) is a common cause of seizures in India as well as several other countries. The granuloma can be a cause of chronic epilepsy. In some cases, the granuloma resolves within a few months, however, it can last for several years in many patients. Calcification is a sign of healed SCG. Enhancement of the lesion after contrast is a sign of active lesion. However, it is not uncommon to find a calcified lesion, which enhances at the same time.

The above MRI shows right frontal calcified lesion (best appreciated on the SWI MRI sequences), which is enhancing with gadolinium contrast. Patient had history of chronic seizures of three years duration.

The only treatment needed in this case is long-term antiepileptic drugs.

Published by Dr Sudhir Kumar MD (Medicine) DM (Neurology)

I am a doctor with 25 years experience. I have worked as a neurologist for about 20 years. Educating public and healthcare professionals is very dear to me. This is possible due to my interactions with thousands of patients and their caregivers. I salute the patients who suffer and it is our duty to minimise suffering by preventing diseases and ensuring prompt diagnosis and treatment of those already affected.

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