Observation
Typically observation
If just one lesion or cosmetic issue, surgical excision
Otherwise: NSAIDs
If just one lesion or cosmetic issue, surgical excision
Otherwise: NSAIDs
Anticonvulsants (keppra, dilantin, newer agents)
Antihelminthic therapy and steroids
Treat if edema, mass effect, or vasculitis
Don’t treat if old calcifications on CT without edema
Before starting these meds, need to check for:
positive PPD
co-infection with strongyloides (steroids can cause to disseminate)
ocular involvement (inflammation associated with dying organisms can result in vision loss by causing chorioretinitis, retinal detachment, or vasculitis)
Patients started on therapy get admitted to watch for any adverse events initially
Treat if edema, mass effect, or vasculitis
Don’t treat if old calcifications on CT without edema
Before starting these meds, need to check for:
positive PPD
co-infection with strongyloides (steroids can cause to disseminate)
ocular involvement (inflammation associated with dying organisms can result in vision loss by causing chorioretinitis, retinal detachment, or vasculitis)
Patients started on therapy get admitted to watch for any adverse events initially
positive PPD
co-infection with strongyloides (steroids can cause to disseminate)
ocular involvement (inflammation associated with dying organisms can result in vision loss by causing chorioretinitis, retinal detachment, or vasculitis)
Intra-ocular:  surgery 
Extra-ocular muscle involvement: albendazole and steroids
Spinal intramedullary: possibly surgery
Consult OBGYN
Avoid any antiparasitics (associated with early worsening in seizure activity). In most cases, therapy should be deferred until after delivery
Cysticercosis
Brain abscess
Paraphimosis
Vasculitis
Japanese encephalitis
Tuberculomas or Mycotic granulomas
Leishmaniasis
Primary brain tumors or metastases