Info

Table 36.8. Pathologic stages of Escobar correlated with radiographic findings and indications for treatment.

Escobar stage Pathology

CT findings

MR findings

Treatment

Vesicular

Colloidal stage of the vesicular form

Granular nodular

Nodular calcified

Earliest stage. Larva alive, invaginated, cyst fluid translucent

Parasite dying; degenerative changes present; cyst fluid jelly-like and white Cyst smaller; cyst fluid coarse granules

Complete mineralization of cyst fluid

No contrast enhancement or, rarely, homogeneous contrast enha ncement

Cystic lesions without contrast enhancement

Cyst isodense or hyperdense to brain, ring-enhancement present; may have edema around cyst

Calcified lesions

Increased signal on T2-weighted images; may see small nodule of gadolinium enhancement, or cyst with CSF-density fluid within Cystic lesion with thick capsule; on Tl-weighted images, fluid signal higher than CSF

Cystic lesion; fluid isodense to brain. Ring-enhancement with gadolinium

Calcified lesions

Patient asymptomatic; treatment with anthelmintic effective

Patient usually asymptomatic; treatment with anthelmintic effective

Patient symptomatic; treatment with anthelmintic probably not necessary; treat seizures with anticonvulsant

Patient symptomatic; treatment with anthelmintic not indicated; treat seizures with anticonvulsant

Cure Your Yeast Infection For Good

Cure Your Yeast Infection For Good

The term vaginitis is one that is applied to any inflammation or infection of the vagina, and there are many different conditions that are categorized together under this ‘broad’ heading, including bacterial vaginosis, trichomoniasis and non-infectious vaginitis.

Get My Free Ebook


Post a comment