SOLITARY SMALL RING ENHANCING COMPUTERIZED TOMOGRAPHIC LESIONS  A CLINICAL STUDY

Dr. C. Sreenivasulu; Dr. S. Lakshmi Bai

Volume : VI, Issue : II, February - 2016

SOLITARY SMALL RING ENHANCING COMPUTERIZED TOMOGRAPHIC LESIONS A CLINICAL STUDY

Dr. C. Sreenivasulu, Dr. S. Lakshmi Bai

Abstract :

Single small enhancing CT (SSECTL) lesions typically are small (often < 20 mm), enhancing as a ring lesion or a disc and with varying amounts of surrounding edema. These lesions have been very commonly encountered in clinical practice. This study reveals that most of the cases of SSECTL are likely to be due to Neurocysticercosis. Most SSECTL present as focal seizures. Once the diagnosis of SSECTL and likely to be a solitary cysticercus lesion is made, the patient is given appropriate AED (anti–epileptic drug) therapy. Depending on the resolution pattern on repeat imaging performed at intervals not less than six months if patient remains asymptomatic, cysticidal therapy is instituted along with AEDs. Any deviation from the classical clinical or radiological patterns needs further evaluation and other etiologies described for the SSECTL will need to be ruled out, including that of tuberculosis. Largely these lesions resolve and the clinical condition remains benign and in most patients AEDs can be withdrawn in two to three years period.