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Encephaloma, neurocysticercosis, angiocavernoma or others: A case report

It is difficult to make a diagnosis for this case. A 38-year-old man suffered from mild cognitive dysfunction for 3 months and intermittent headache for 20 days, and his focal neurological signs were unconspicuous. Cerebrospinal fluid (CSF) showed normal biochemical and negative bacteriologic examinations. Parasitological tests of blood and CSF were negative. Imaging examination showed multiple intracranial lesions, which possessed the characteristics of multidate, fluid levels, bleeding, and without edema zone. The possible diagnosis included metastatic encephaloma, neurocysticercosis and angiocavernoma or other diseases. The patient was treated with dehydration of intracraninal pressure and the neurological symptoms were improved slightly. For this case, with slight abnormal clinical symptoms and complicated imaging findings, it is difficult to diagnose, and brain biopsy may be the only method for the definitive diagnosis.