A 30-year-old man from Peru presents with epilepsy. CT brain shows a single, small, calcified granuloma. He has been seizure-free for 2 years on carba...

Question

A 30-year-old man from Peru presents with epilepsy. CT brain shows a single, small, calcified granuloma. He has been seizure-free for 2 years on carbamazepine. T. solium serology is positive. Is antiparasitic treatment indicated for a single calcified lesion?

Accepted Answer

No; calcified granulomata represent dead cysticerci; antiparasitic treatment is NOT indicated for calcified (inactive) lesions; antiepileptic management is the priority

Answer

Yes; albendazole plus dexamethasone

Answer

Yes; praziquantel for 30 days

Answer

Surgical excision is mandatory

Answer

No treatment of any kind is needed

uk-dtmh MCQ (SBA): Calcified NCC Management

A 30-year-old man from Peru presents with epilepsy. CT brain shows a single, small, calcified granuloma. He has been seizure-free for 2 years on carbamazepine. T. solium serology is positive. Is antiparasitic treatment indicated for a single calcified lesion?