Summary
MR and CT features of neurocysticercosis are variable and depend fundametally on the stage in evolution of the infection, location, number and size of the worm. The authors retrospectively evaluated MR images obtained on a 2.0T superconducting unit in 22 neurocysticercosis patients and observed various MR features including some new findings. A variety of MR findings are presented with special reference to six case reports. The features include: (1) a large simple cyst containing both internal septations and a scolex; (2) suprasellar racemose cysts mimicking other cysts, (3) a fourth ventricular cyst readily depicted by aid of CSF flow-void in the sagittal plane; (4) degenerating cysts showing “white target” appearance; (5) granulomatous lesions having a “black target” appearance; and (6) a meningitic form showing Gd-DTPA enhancement of basal cisterns and of a subacute infarct.
This is a preview of subscription content, log in via an institution to check access.
Similar content being viewed by others
References
Bentson JR, Wilson GH, Helmer E, Winter J (1977) Computed tomography in intracranial cysticercosis. J Comput Assist Tomogr 1:464–471
McCormick GF, Zee CS, Heiden J (1982) Cysticercosis cerebri. Arch Neurol 39:534–539
Zee C, Segall HD, Miller C, Tsai FY, Teal JS, Hieshima G, Ahmadi J, Halls J (1980) Unusual features of intracranial cysticercosis. Radiology 137:397–407
Schraberg D, Weisberg L, de Urrutia JR, LaCorte WS (1980) Cysticercosis cerebri: evolution of central nervous system involvement as visualized by computed tomography. Comput Radiol 4:261–266
Byrd SE, Locke GE, Biggers S, Percy AK (1982) The computed tomographic appearance of cerebral cysticercosis in adults and children. Radiology 144:819–823
Rodriguez-Carbajal J, Salgato P, Gutierrez-Alvarado R, Escobar-Izguierdo A, Aruffo C, Palacios E (1983) The acute encephalitic phase of neurocysticercosis. AJNR 4:51–55
Handler LD, Mervis B (1983) Cerebral cysticercosis with reference to the natural history of parenchymal lesions. AJNR 4: 709–712
Chang KH, Kim WS, Cho SY, Han MC, Kim CW (1988) Comparative evaluation of brain CT and ELISA in the diagnosis of neurocysticercosis. AJNR 9:125–130
Enzman DR (1984) Imaging of infections and inflammations of the central nervous system: computed tomography, ultrasound and nuclear magnetic resonance. Raven, New York, pp 103–127
Suss RA, Maravilla KR, Thompson J (1986) MR imaging of intracranial cysticercosis: comparison with CT and anatomopathologic features. AJNR 7:235–242
Rhee RS, Kumasaki DY, Sarwar M, Rodriguez J, Nassem M (1987) MR imaging of intraventricular cysticercosis. J Comput Assist Tomogr 11:598–601
Lotz Z, Hewlett R, Alheit B, Bowen R (1988) Neurocysticercosis; Correlative pathomorphology and MR imaging. Neuroradiology 30:35–41
Begley MG, Dwyer A, Nash TE (1988) Cerebral parenchymal neurocysticercosis: comparison of CT and MR (Abstr). AJNR 9:1036
Zee CS, Segall HD, Boswell W, Ahmadi J, Nelson M, Colletti P (1988) MR imaging of neurocysticercosis. J Comput Assist Tomogr 12:927–934
Sze G, Zimmerman RD (1988) The magnetic resonance imaging of infection and inflammatory diseases. Radio Clin North Am 26:839–859
Gupta RK, Jena A, Sharma A, Guha DK, Khushu S, Gupta AK (1988) MR imaging of intracranial tuberculomas. J Comput Assist Tomogr 12:280–285
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Suh, D.C., Chang, K.H., Han, M.H. et al. Unusual MR manifestations of neurocysticercosis. Neuroradiology 31, 396–402 (1989). https://doi.org/10.1007/BF00343863
Received:
Issue Date:
DOI: https://doi.org/10.1007/BF00343863