Question
An 8 years old girl had a right sided focal convulsion 5 months back. MRI brain at that time was suggestive of well defined ring enhancing. T2 hyperintense conglomerate lesions in left high parietal region with surrounding perilesional edema {1.2 x 1cm} suggestive of neurocysticercosis. She was given Albendazole for 28 days and steroids in tapering doses. She was continued on Carbamazepine. She was alright for next 3 months when she again had a focal convulsion. At that time MRI showed same size lesion with no change as compared to previous scan. She had no other complaints and contact with TB was not present. Her CSF was normal, CSF TB PCR was negative, Chest X-Ray and Mantoux test were negative. Her blood cysticercus IgG was negative. She was started on 4 drug AKT in view of persistent granuloma. Currently the child has completed 2 months of ATT and is otherwise asymptomatic.