DIFFERENCE BETWEEN NEUROCYSTICERCOSIS AND CNS TUBERCULOMAS LESIONS

NEUROCYSTICERCOSIS

TUBERCULOMA

1. Lesions are <20 mm and may be single or multiple.

2. Meningitis feature is not there.

3. Present at grey-white matter junction.

4. Other involvements like eyes, muscles or subcutaneous tissues.

5. T2W shows hyper intensity with hypointense scolex in it. No midline shift and ring enhancement is there depending upon the staging.

6. MR spectroscopy shows multiple amino acid peaks.

1. Often multiple and >20 mm because of conglomeration.

2. Meningitis is usually associated.

3. More common in posterior fossa.

4. Spread is mostly secondary to infection somewhere else.

5. Hy pointensity seen in T2W and midline shift may be present.

6. MR Spectroscopy shows lipid peak.