Giant Neurocysticercosis

Neurocysticercosis is one of the common space occupying lesion of brain in Asian countries. Cysticercosis of brain can present in variable forms with or without classic scolex in cyst. As they are so common and treatable cause of new onset seizure, identification of such pathology is crucial in imaging. We are presenting a cystic lesion of brain of middle aged patient with spontaneous onset of seizure and headache. On CT scan there was large cystic lesion of white matter of right cerebral hemishere with no perilesional edema and contrast uptake. On further imaging with MRI, there were other small lesions in left cerebrum apart from large lesion detected on CT. None of the lesions showed scolex and contrast uptake. Excisional biopsy showed the lesion to be taeniasis of brain. The albendazole and steroid therapy cured the symptom of the patient. It is one of the rare pattern of common disease.