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Discussion Starter #1
Patient from Mexico presented with this MRI of the brain.

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punctate brain.JPG
Image from wikimedia public domain

What should be specifically looked for in the history
- Working in pigs farm
- Sheep raising
- Dogs and cats at home
- Mosquito bite
- Eating dirt (pica)
 

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Discussion Starter #3
working in pigs farm ?
Correct :)
This is a case of neurocysticercosis characterized by multiple cysts with surprisingly less CNS symptoms.

The distractors are:

Raising sheep --- Echinococcus granulosus, usually causing a single large cyst.
Dogs & Cats ---- Toxoplasmosis, should show typical ring enhancement
Mosquito bite --- cerebral malaria has no radiologic findings
Eating dirt (pica) ---- visceral larva migrans (toxocara canis) may cause cerebral granulomas
 

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Is there a way to distinguish between a Toxoplasmosis lesion and neurocysticercosis?:notsure:
 
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