A diagnostic and therapeutic scheme for a solitary cysticercus granuloma

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Abstract
Background: Solitary cysticercus granuloma (SCG) is one of the most common forms of presentation of neurocysticercosis (NCC). The diagnostic workup and management approach to this condition remain uncertain and controversial. Objective: To review evidence and develop a consensus approach to the diagnosis and treatment of SCG. Methods: A multidisciplinary expert group meeting was convened in order to review and discuss various aspects of management of patients with SCG. Evidence reviewed was classified and a consensus was evolved according to standard protocols. Results: SCG is commonly recognized on CT as an enhancing lesion measuring Conclusions: It is desirable to have large, multicenter trials with sufficiently long follow-up, comparing outcomes with the use of antihelminthics with or without corticosteroids and corticosteroids alone in order to dissect out the benefits accrued due to each of these classes of drugs.

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