DR MAGIC L for Ring Enhancing Lesion
Abscess, toxoplasmosis, TB, neurocysticercosis
In this case, patient had multiple nodular ring enhancing lesions.
- Multiple ring enhancing lesions: consider infective causes
- Classical abscess ring is thin and hairy. Consider atypical infection if the ring is “weird”.
- Patient has cerebral TB.
- Due to multiple ring enhancing lesions, patient is in high risk of increased ICP and brain herniation. LP SHOULD NOT BE DONE now.
Note: cerebral TB is not transmitted from person-person UNLESS the patient has pulmonary TB.