Case 2. Case 2. Images of the brain of a 45-year-old woman with a 6-year history of severe headache, intermittent seizures, and right hemiparesis. A, Precontrast.

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Presentation transcript:

Case 2. Case 2. Images of the brain of a 45-year-old woman with a 6-year history of severe headache, intermittent seizures, and right hemiparesis. A, Precontrast CT scan reveals unilateral extensive area of low attenuation in the white matter of the left parietal lobe, with ipsilateral ventricular dilation. Small, punctate calcifications are seen in the left parietal lobe. B–D, Axial T1-weighted (A), T2-weighted (B), and FLAIR images (C) of the same section show a wide area of hypointensity on T1-weighted image (B), heterogeneous hyperintensity on T2-weighted (C) and FLAIR images (D), with a small central area of isointensity and slight hyperintensity on T2-weighted image (C), corresponding to isointensity or hypointensity on FLAIR image (D), representing encephalomalacia. E–G, Postcontrast axial (E), coronal (F), and sagittal (G) T1-weighted images show a tunnel about 5 cm in length and 1.5 cm in width, appearing as a hollow tube located in the left temporal and parietal lobe. H, Intraoperative photograph shows a whitish, wrinkled, threadlike live worm approximately 6 cm in length with slow peristalsis. T. Song et al. AJNR Am J Neuroradiol 2007;28:1700-1705 ©2007 by American Society of Neuroradiology