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Solitary Brain Mass in a Patient with Seizures: An Unexpected Infectious Etiology

Neurocysticercosis is a parasitosis caused by the larval stage of the pork tapeworm Taenia solium. The diagnosis is challenging as morphology on neuroimaging can be inconclusive and serology is frequently negative. We describe the case of a 24-year old Hispanic man who presented with seizures and lo...

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Autores principales: Raja, Mohammed, Gonzales Zamora, Jose Armando, Hassoun, Ali
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6163356/
https://www.ncbi.nlm.nih.gov/pubmed/29932160
http://dx.doi.org/10.3390/diseases6030054
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author Raja, Mohammed
Gonzales Zamora, Jose Armando
Hassoun, Ali
author_facet Raja, Mohammed
Gonzales Zamora, Jose Armando
Hassoun, Ali
author_sort Raja, Mohammed
collection PubMed
description Neurocysticercosis is a parasitosis caused by the larval stage of the pork tapeworm Taenia solium. The diagnosis is challenging as morphology on neuroimaging can be inconclusive and serology is frequently negative. We describe the case of a 24-year old Hispanic man who presented with seizures and loss of consciousness. Magnetic resonance imaging (MRI) showed a cystic mass in right frontal lobe. Work-up that included body computed tomography (CT) scan and Western blot serology for Echinococcus and cysticercosis was unrevealing. He underwent craniotomy with resection of the mass. Histopathology showed fragments of Taenia solium. He was treated with albendazole for 14 days. No further seizures were noted at 6-month follow-up.
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spelling pubmed-61633562018-10-11 Solitary Brain Mass in a Patient with Seizures: An Unexpected Infectious Etiology Raja, Mohammed Gonzales Zamora, Jose Armando Hassoun, Ali Diseases Interesting Images Neurocysticercosis is a parasitosis caused by the larval stage of the pork tapeworm Taenia solium. The diagnosis is challenging as morphology on neuroimaging can be inconclusive and serology is frequently negative. We describe the case of a 24-year old Hispanic man who presented with seizures and loss of consciousness. Magnetic resonance imaging (MRI) showed a cystic mass in right frontal lobe. Work-up that included body computed tomography (CT) scan and Western blot serology for Echinococcus and cysticercosis was unrevealing. He underwent craniotomy with resection of the mass. Histopathology showed fragments of Taenia solium. He was treated with albendazole for 14 days. No further seizures were noted at 6-month follow-up. MDPI 2018-06-22 /pmc/articles/PMC6163356/ /pubmed/29932160 http://dx.doi.org/10.3390/diseases6030054 Text en © 2018 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Interesting Images
Raja, Mohammed
Gonzales Zamora, Jose Armando
Hassoun, Ali
Solitary Brain Mass in a Patient with Seizures: An Unexpected Infectious Etiology
title Solitary Brain Mass in a Patient with Seizures: An Unexpected Infectious Etiology
title_full Solitary Brain Mass in a Patient with Seizures: An Unexpected Infectious Etiology
title_fullStr Solitary Brain Mass in a Patient with Seizures: An Unexpected Infectious Etiology
title_full_unstemmed Solitary Brain Mass in a Patient with Seizures: An Unexpected Infectious Etiology
title_short Solitary Brain Mass in a Patient with Seizures: An Unexpected Infectious Etiology
title_sort solitary brain mass in a patient with seizures: an unexpected infectious etiology
topic Interesting Images
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6163356/
https://www.ncbi.nlm.nih.gov/pubmed/29932160
http://dx.doi.org/10.3390/diseases6030054
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