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American Journal of Neuroradiology 27:653-655, March 2006
© 2006 American Society of Neuroradiology

Case Report
BRAIN

Calcified Neurocysticercosis Lesions Trigger Symptomatic Inflammation During Antiparasitic Therapy

P. Poeschla, A. Janzena, G. Schuiererb, J. Winklera, U. Bogdahna and A. Steinbrechera

a Department of Neurology, University of Regensburg, Regensburg, Germany
b Institute of Neuroradiology, District Hospital Regensburg, Universitätsstr 84, 93053 Regensburg, Germany

Address correspondence to Peter Poeschl, MD, Universitätsstr. 84, 93053 Regensburg, Germany

SUMMARY: We report a patient with neurocysticercosis who developed numerous cerebral edematous lesions while undergoing cysticidal therapy. These lesions outnumbered viable cystic lesions seen before therapy. Most new lesions were subsequently found to be associated with former calcifications not seen on initial MR imaging. Calcified neurocysticercosis lesions can trigger inflammatory reactions during therapy, and the number and location of calcified neurocysticercosis lesions may influence treatment decisions.




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Copyright © 2008 by the American Society of Neuroradiology. Print ISSN: 0195-6108 Online ISSN: 1936-959X