NCC and Tuberculoma.. How to differentiate❓..#KIP
NCC rule of 6 S.. Supratentorial, single,some edema, scolex, seizure only presentation, stage of lesion variable..
Tuberculoma can have features other than seizures like prolonged fever cough TB contact positive mantoux positivity.. Focal neurological deficit s, midline shift in MRI.. Multiple lesions..
Rarely both NCC and tuberculoma can coexist in the same patient..
Rarely multiple neurocysticercosis cysts can be seen in MRI disseminated ones... Called as starry sky appearance...can present with fever vomiting headache etc..
No role of MRI spectroscopy with lipid peak and lactate peaks in differentiating both..