Case#1: 50yo female from Eastern Europe presents to the Emergency
Department with three weeks of intermittent double vision, trouble
walking, and R arm uncoordination. She had an outpatient CT of her head
that showed no abnormalities and could not initially undergo a MRI
because she had an IUD in place. The IUD has been removed and she now
presents to the EED because the symptoms are getting worse. On exam, her
vital signs are stable. Positive findings include a cranial nerve III
palsy of the left eye, R arm and leg ataxia, and marked gait ataxia. She
also has trouble finding words. A MRI/MRA is performed emergently that
shows a ring-enhancing lesion in the midbrain. What could the lesion be?
What is the diagnosis?
Answer #1: Neurocysticercosis
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