Cysticercosis differential diagnosis

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Overview

Cysticercosis must be differentiated from other diseases that cause brain lesions and ocular lesions.

Disease	Prominent clinical feature	Lab findings	Radiological findings
Neurocysticercosis	Parenchymal lesions: Presentation depends on the site and number of lesions. Seizures are most common presentation. It is mostly focal but can have secondary generalization.	Lab findings are nonspecific.
Brain abscess	Headache is the most common symptom. Ususally occurs on the same side of the abscess and tends to be severe (not responding to analgesics). Fever is not reliable.(2)	Lumbar puncture is contraindicated but when done, it was variable between patients. Culture from the CT guided aspirated lesion helps in identifying the causative agent.
Brain tumors
Brain tuberculoma
Neurosarcoidosis
Encephalitis

References

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