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Case No 1
A 33-year-old Afro-American man, born in Surinam, without a previous medical history, presented with a 3 week history of headache, nausea and walking difficulties. Neurological examination showed bradyphrenia and left-sided hemiparesis. Head MRI showed a focal dilated right lateral ventricle caused by a cystic lesion (fig 1A). CSF revealed a leucocyte count of 681/ml (87% lymphocytes) and a protein level of 1.04 g/l. CSF cultures and serological tests for Taenia solium, Treponema pallidum, Echinococcus and Borrelia burgdorferi species were negative; cultures and PCR were negative for Mycobacterium tuberculosis.
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