An acute symptomatic seizure is an important entity where children and young people present with the first episode of seizure associated with very characteristic CT/MRI finding in the brain, a single enhancing lesion looking like a ring sometimes it may be multiple. There is no associated history of fever, headache or any evidence of encephalitis, therefore it comes under the heading of symptomatic epilepsy with ring lesion in the brain after extensive investigation and histopathological examination it has been proved that upto 90% of these lesions are neurocysticercosis- a type of parasitic infestation. Other differential diagnoses are tuberculoma, a demyelinating plaque or metastatic lesion intracranial hemorrhages/vasculitic lesion primary intracranial tumors (i.e.
glioblastoma)/low grade glioma. Abscesses and fungal granuloma in immunocompromised patients Investigative approach: A…
