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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Format: | Article |
Language: | English |
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Wolters Kluwer Medknow Publications
2015-01-01
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Series: | Annals of Indian Academy of Neurology |
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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 Largely these lesions resolve and the clinical condition remains benign and in most patients AEDs can be withdrawn in two to three years period. |
first_indexed | 2024-12-11T10:39:24Z |
format | Article |
id | doaj.art-b9d1ecf26f65412aab6c381034b94c16 |
institution | Directory Open Access Journal |
issn | 0972-2327 1998-3549 |
language | English |
last_indexed | 2024-12-11T10:39:24Z |
publishDate | 2015-01-01 |
publisher | Wolters Kluwer Medknow Publications |
record_format | Article |
series | Annals of Indian Academy of Neurology |
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 |
work_keys_str_mv | AT mvpadmasrivastava singlesmallenhancingctlesionswithspecialreferencetoneurocysticercosishowitreat |