Why MRI of brain is superior to CT in multiple neurocysticercosis?
A 6-year-old girl presented with history of fever, headache and partial seizures with secondary generalisation. The cerebrospinal fluid analysis revealed pleocytosis and elevated proteins. The clinical evaluation and cerebrospinal fluid analysis was suggestive of chronic meningitis. The patient was started antituberculous therapy considering tuberculous meningitis. The authors report this case because MRI of brain showed multiple cysticerci throughout the brain parenchyma which was completely missed on CT brain. Antituberculosis treatment was withdrawn and the patient was advised albendazole, antiepileptic drug and steroids. The patient showed remarkable improvement at follow-up after 3 months.
Department of Neurology, Chhatrapati Shahuji Maharaj Medical University, Lucknow, Uttar Pradesh, India. drrajeshverma32@yahoo.com
Rajesh
R
Verma
Rakesh
R
Lalla
D000818:Animals; D000909:Antibodies, Helminth / Q000032:analysis; D001921:Brain / Q000000981:diagnostic imaging / Q000473:pathology*; D002648:Child; D003552:Cysticercus / Q000276:immunology; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D008279:Magnetic Resonance Imaging / Q000379:methods*; D020019:Neurocysticercosis / Q000175:diagnosis*; D015203:Reproducibility of Results; D014057:Tomography, X-Ray Computed / Q000379:methods*
D000909:Antibodies, Helminth