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The Swiss cheese brain

Department of Neuroradiology, Manchester Royal Infirmary, Oxford Rd, Manchester M13 9WL, UK

This excerpt was created in the absence of an abstract.

A 37-year-old Indian man presented with a 6-month history of focal and grand mal convulsions. He had emigrated from India 2 years previously and was working as a chef in a local restaurant. There was no significant past medical history. Initial investigations included a computed tomogram (CT) of his brain (Fig. 1), which demonstrated a number of small enhancing parenchymal lesions with surrounding low-attenuation changes which were attributed to oedema. A magnetic resonance (MR) scan was performed and is illustrated (Figs 2–4).

What are the radiological findings' What is the diagnosis and what other information would you seek to confirm this'

The MR images demonstrate multiple, well-defined lesions throughout the brain, which show a predilection for grey matter.

Key Words: Cysticercosis • Magnetic resonance imaging • Computed tomography

Received for publication November 15, 1991. Accepted for publication March 12, 1992.