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Figure 1: Brain magnetic resonance imaging from the local hospital showed multiple large cysts accompanied by perilesional oedema, in the presence of
scolex (a: T2-weighted image； b and c: Flair image)

Figure 2: Magnetic resonance imaging (MRI) after 2 cycles of treatment with albendazole. (a) T2-MRI and gadolinium-enhanced MRI; (b) showed a single
large cyst with cerebrospinal fluid-like signal in the right basal ganglia region; (c) gadolinium-enhanced MRI showed some ring-like or nodular contrast
enhancements in occipital lobe

Figure 3: Computed tomography after 2 cycles of treatment with albendazole. There was a single large hypointense cyst in the right basal ganglion region (a)
and the resolution of other cysts associated with calcification around the lateral ventricles (b) and in the cerebral cortex(c)
hypointense on the T1-weighted scan with ring remitted and the patient’s condition improved. He was
enhancement. The patient was transferred to the discharged on day 23.
Beijing Tiantan Hospital for diagnosis and treatment.
Examination findings remained unremarkable. Blood At follow-up 6 months later, the patient started to use
cell counts and erythrocyte sedimentation rate were albendazole again at a dose of 400 mg/day for 2 days,
within the normal range. Cerebrospinal fluid analysis then added to 800 mg/day for 4 days, finally increased
revealed an antibody of Taenia solium. On this basis, the to 1,200 mg/day for 10 days. At 2 months, clinical
patient was diagnosed with neurocysticercosis. recovery was accompanied by neuroimaging
Dexamethasone 20 mg/day was initially used and reduced improvement. Most cysts have reduced in diameter,
to 10 mg/day after 6 days. Later, sodium valproate (500 mg and 1 large cyst persisted in the right basal ganglia.
bid) was added. Albendazole was given at a dose of 400- These lesions showed ring-like or nodular contrast
1,200 mg/day as the antihelminthic treatment for 17 days. enhancement on brain MRI [Figure 2] and calcification
After 1 month of treatment, the generalized seizures on the brain computed tomography [Figure 3].

Neuroimmunol Neuroinflammation | Volume 3 | May 20, 2016 121