Volume 23, Issue 1 pp. 149-151
Case Report

MRS Findings in Cerebral Coenurosis due to Taenia Multiceps

Sudheer Ambekar MBBS

Sudheer Ambekar MBBS

From the Departments of Neurosurgery (SA, SD); Neuroimaging and Interventional Radiology (PC); and Neuropathology (AM), National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, Karnataka, India.

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Chandrajit Prasad DM

Chandrajit Prasad DM

From the Departments of Neurosurgery (SA, SD); Neuroimaging and Interventional Radiology (PC); and Neuropathology (AM), National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, Karnataka, India.

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Srinivas Dwarakanath MCh

Srinivas Dwarakanath MCh

From the Departments of Neurosurgery (SA, SD); Neuroimaging and Interventional Radiology (PC); and Neuropathology (AM), National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, Karnataka, India.

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Anitha Mahadevan MD

Anitha Mahadevan MD

From the Departments of Neurosurgery (SA, SD); Neuroimaging and Interventional Radiology (PC); and Neuropathology (AM), National Institute of Mental Health and Neurosciences (NIMHANS), Bangalore, Karnataka, India.

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First published: 23 June 2011
Citations: 15
Dr Chandrajit Prasad, Assistant Professor, Department of Neuroimaging and Interventional Radiology, NIMHANS, Bangalore, India. E-mail: [email protected].

J Neuroimaging 2013;23:149-151.

ABSTRACT

Cerebral coenurosis due to Taenia multiceps is a rare infection with no case reports from India. A 55-year-old male patient had presented with progressive symptoms of hemiparesis of 1-year duration. Magnetic resonance imaging (MRI) with magnetic resonance spectroscopy (MRS) of the lesion was performed that showed a septated cystic lesion in left parieto-occipital lobe. Multivoxel MRS through the lesion was performed using repetition time of 1500 ms and time to echo of 144 ms at 3T MRI. MRS showed mildly elevated choline (Cho), depressed creatine (Cr), and N-acetyl aspartate (NAA), a large peak of lactate, pyruvate, and acetate peaks. To best of our knowledge, there has been no reported case of in vivo proton MRS finding ever reported. We present MRS findings in this operatively proven case of T. multiceps cyst of the brain.

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