Single small enhancing CT Lesions, with special reference to neurocysticercosis: How I treat

Single small enhancing CT lesions (SSECTL) have been very commonly encountered in clinical practice.These lesions typically are small (often < 20 mm), enhancing as a ring lesion or a disc and with varying amounts of surrounding edema. Most SSECTL present as focal seizures. Once the diagnosis of S...

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Main Author: M V Padma Srivastava
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2015-01-01
Series:Annals of Indian Academy of Neurology
Subjects:
Online Access:http://www.annalsofian.org/article.asp?issn=0972-2327;year=2015;volume=18;issue=3;spage=286;epage=289;aulast=Padma
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author M V Padma Srivastava
author_facet M V Padma Srivastava
author_sort M V Padma Srivastava
collection DOAJ
description Single small enhancing CT lesions (SSECTL) have been very commonly encountered in clinical practice.These lesions typically are small (often < 20 mm), enhancing as a ring lesion or a disc and with varying amounts of surrounding edema. Most SSECTL present as focal seizures. Once the diagnosis of SSECTL and likely to be a solitary cysticercus lesion is made, the patient is given appropriate AED therapy. Depending on the resolution pattern on repeat imaging performed at intervals not less than six months if patient remains asymptomatic, cysticidal therapy is instituted along with AEDs. Any deviation from the classical clinical or radiological patterns needs further evaluation and other etiologies described for the SSECTL will need to be ruled out, including that of tuberculosis. Largely these lesions resolve and the clinical condition remains benign and in most patients AEDs can be withdrawn in two to three years period.
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spelling doaj.art-b9d1ecf26f65412aab6c381034b94c162022-12-22T01:10:38ZengWolters Kluwer Medknow PublicationsAnnals of Indian Academy of Neurology0972-23271998-35492015-01-0118328628910.4103/0972-2327.162269Single small enhancing CT Lesions, with special reference to neurocysticercosis: How I treatM V Padma SrivastavaSingle small enhancing CT lesions (SSECTL) have been very commonly encountered in clinical practice.These lesions typically are small (often < 20 mm), enhancing as a ring lesion or a disc and with varying amounts of surrounding edema. Most SSECTL present as focal seizures. Once the diagnosis of SSECTL and likely to be a solitary cysticercus lesion is made, the patient is given appropriate AED therapy. Depending on the resolution pattern on repeat imaging performed at intervals not less than six months if patient remains asymptomatic, cysticidal therapy is instituted along with AEDs. Any deviation from the classical clinical or radiological patterns needs further evaluation and other etiologies described for the SSECTL will need to be ruled out, including that of tuberculosis. Largely these lesions resolve and the clinical condition remains benign and in most patients AEDs can be withdrawn in two to three years period.http://www.annalsofian.org/article.asp?issn=0972-2327;year=2015;volume=18;issue=3;spage=286;epage=289;aulast=PadmaCysticercosisepilepsySSECTL
spellingShingle M V Padma Srivastava
Single small enhancing CT Lesions, with special reference to neurocysticercosis: How I treat
Annals of Indian Academy of Neurology
Cysticercosis
epilepsy
SSECTL
title Single small enhancing CT Lesions, with special reference to neurocysticercosis: How I treat
title_full Single small enhancing CT Lesions, with special reference to neurocysticercosis: How I treat
title_fullStr Single small enhancing CT Lesions, with special reference to neurocysticercosis: How I treat
title_full_unstemmed Single small enhancing CT Lesions, with special reference to neurocysticercosis: How I treat
title_short Single small enhancing CT Lesions, with special reference to neurocysticercosis: How I treat
title_sort single small enhancing ct lesions with special reference to neurocysticercosis how i treat
topic Cysticercosis
epilepsy
SSECTL
url http://www.annalsofian.org/article.asp?issn=0972-2327;year=2015;volume=18;issue=3;spage=286;epage=289;aulast=Padma
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