Solitary Brain Mass in a Patient with Seizures: An Unexpected Infectious Etiology.

Neurocysticercosis is a parasitosis caused by the larval stage of the pork tapeworm The diagnosis is challenging as morphology on neuroimaging can be inconclusive and serology is frequently negative. We describe the case of a 24-year old Hispanic man who presented with seizures and loss of consciousness. Magnetic resonance imaging (MRI) showed a cystic mass in right frontal lobe. Work-up that included body computed tomography (CT) scan and Western blot serology for and cysticercosis was unrevealing. He underwent craniotomy with resection of the mass. Histopathology showed fragments of . He was treated with albendazole for 14 days. No further seizures were noted at 6-month follow-up.