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A 14-year-old boy presented to our emergency department with status epilepticus of 1-h duration. He also had multiple episodes of generalised tonic-clonic seizures and intermittent headache for the past 1 month. He was a school dropout and belonged to a poor socioeconomic background. On examination, he was deeply comatose. Initial investigations included an axial contrast-enhanced CT of the brain subsequently followed by MRI of the brain.
CT brain demonstrated diffuse cerebral oedema with multiple small cystic lesions scattered bilaterally ( figure 1 ). MR images revealed innumerable well-defined small-sized cystic lesions (low signal on T1 and increased intensity on T2) and few, with tiny intralesional calcified, foci (typical appearance of scoleces) in the bilateral brain parenchyma with significant white matter oedema in the frontal regions ( figures 2 and...