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Research ArticleBRAIN

Coinfection of Japanese Encephalitis with Neurocysticercosis: An Imaging Study

S.K. Handique, R.R. Das, B. Saharia, P. Das, R. Buragohain and P. Saikia
American Journal of Neuroradiology January 2008, 29 (1) 170-175; DOI: https://doi.org/10.3174/ajnr.A0769
S.K. Handique
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R.R. Das
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B. Saharia
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P. Das
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R. Buragohain
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P. Saikia
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    Fig 1.

    Thirty-one-year-old man with coinfection of JE and NCC (patient no. 2). A and B, Contrast-enhanced CT scans show nonenhancing left thalamic lesion (arrow in A) with a left parietal cysticercus with identifiable scolex and edema (arrow in B). C and D, Axial T2-weighted MR imaging scans done on day 4 of onset of symptoms show a left parietal cysticercus with edema (arrow in C) and T2 hyperintense bilateral thalamic lesions, with predominant lesion on the left side (arrows in D). E, Follow-up axial T2-weighted MR imaging done after 67 days from onset shows resolution of the thalamic lesions.

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    Fig 2.

    Twelve-year-old girl with coinfection of JE and NCC (patient 5). A, Axial T2-weighted MR imaging done on day 5 after onset of symptoms shows a left frontal cysticercus with T2 hyperintense perifocal edema (arrow). This lesion showed ring enhancement with edema on contrast enhanced CT (not shown). B, Axial T2-weighted MR imaging done on the same day as A shows a left thalamic lesion with mass effect (arrow). The substantia nigra were not involved in this stage (not shown). C and D, Axial T2-weighted MR imaging scans done on day 13 show involvement of both thalami (arrows in C) and both substantia nigra (arrows in D). E, Axial T2-weighted MR imaging done after 45 days of onset shows residual lesions in both substantia nigra (arrows). Residual lesions were also seen in both thalami at this stage (not shown).

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    Fig 3.

    Thirteen-year-old girl with coinfection of JE and NCC (patient 6). A, Axial T2-weighted MR imaging scan showing a left basal ganglia granulonodular NCC with edema (arrow). B, Axial T2-weighted scan done at the same time as A shows bilateral thalamic involvement, more on the left side (arrows). Note sparing of the basal ganglia in the vicinity of the cyst. C, Axial T2-weighted scan slightly lower than B shows bilateral substantia nigra, left more than right (arrows) and left midbrain tectum (double arrows).

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    Fig 4.

    Fifty-eight-year-old woman with JE without NCC showing asymmetric lesions. A, Axial T2-weighted MR imaging done on day 3 of onset shows thalamic lesion on the right (double arrows). Note bilateral hippocampal tail involvement (single arrows). B, Axial T2-weighted MR imaging done on same day as A shows right sided substantia nigra (black arrow) and the hippocampal lesions (white arrows). This patient is patient 2 of our previous publication.4

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American Journal of Neuroradiology: 29 (1)
American Journal of Neuroradiology
Vol. 29, Issue 1
January 2008
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Cite this article
S.K. Handique, R.R. Das, B. Saharia, P. Das, R. Buragohain, P. Saikia
Coinfection of Japanese Encephalitis with Neurocysticercosis: An Imaging Study
American Journal of Neuroradiology Jan 2008, 29 (1) 170-175; DOI: 10.3174/ajnr.A0769

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Coinfection of Japanese Encephalitis with Neurocysticercosis: An Imaging Study
S.K. Handique, R.R. Das, B. Saharia, P. Das, R. Buragohain, P. Saikia
American Journal of Neuroradiology Jan 2008, 29 (1) 170-175; DOI: 10.3174/ajnr.A0769
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