Cerebrovascular Complications of Neurocysticercosis

Márquez, Juan; Araúz, Antonio

doi:10.1097/nrl.0b013e31823d7a80

Cited by 41 publications

(28 citation statements)

References 69 publications

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“…Focal neurological signs typically follow a subacute course similar to other space-occupying lesions 11. Less commonly, acute focal deficits can occur when inflammatory changes in penetrating arteries result in ischaemic stroke 12. Signs of increased ICP occur in over 10% of patients.…”

Section: Discussionmentioning

confidence: 99%

Under seize: neurocysticercosis in an immigrant woman and review of a growing neglected disease

et al. 2015

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Summary Neurocysticercosis (NCC) is a significantly neglected tropical disease and, with increasing globalisation, a notable emerging infection in the developed world. We describe a case of ventricular NCC in a 22-year-old Mexican-American woman with a history of seizures, who presented with 2 weeks of headaches and intermittent fevers progressing to altered mental status and vomiting. Initial imaging revealed a cystic mass at the posteroinferior aspect of the third ventricle superior to the aqueduct of Sylvius, calcifications scattered throughout the parenchyma, and enlargement of the lateral and third ventricles. Initial laboratories were unrevealing and serum investigations for Taenia solium antibody were negative, but T. solium antibody was subsequently returned positive from cerebrospinal fluid. This case highlights important issues regarding the clinical presentation, diagnostic evaluation and treatment of NCC relevant to providers not only in areas with endemic disease but, importantly, in locales with diverse immigrant populations.

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Section: Discussionmentioning

confidence: 99%

Under seize: neurocysticercosis in an immigrant woman and review of a growing neglected disease

et al. 2015

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“…Patients with subarachnoid or ventricular neurocysticercosis may develop hydrocephalus because of ventricular outlet obstruction , and frequently have spinal cord involvement . Vascular compromise and strokes have also been reported in subarachnoid neurocysti‐cercosis located in close proximity to major intracranial vessels . Cysts in the Sylvian fissures can grow to large sizes (>10 cm), because of less pressure than with parenchymal cysts .…”

Section: Discussionmentioning

confidence: 99%

Conservative management of neurocysticercosis in a patient with hematopoietic stem cell transplantation: a case report and review

Purvey

Lü

Mukkamalla

et al. 2015

Transplant Infectious Dis

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Neurocysticercosis, an infection of the central nervous system with the larval stage of the cestode Taenia solium, is common in developing countries but its occurrence and management in allogeneic hematopoietic stem cell transplantation (HSCT) has not been reported previously, to our knowledge. We report the case of an immigrant female patient who underwent a matched-related allogeneic HSCT for acute lymphoblastic leukemia and was incidentally found to have a solitary viable neurocysticercosis lesion. However, despite severe immunosuppression, the size of the cyst did not increase. More importantly, restoration of the immune system did not induce significant inflammation or seizures. Subsequent follow-up demonstrated complete resolution of the neurocysticercosis lesion. Thus, in the setting of HSCT, an asymptomatic patient with a single neurocysticercosis lesion was successfully managed without the use of anthelmintics, steroids, or anti-epileptics.

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“…Hemorrhagic or ischemic stroke due to other cerebral parasitic diseases has also been reported. 1,6,9 In neurocysticercosis, stroke is a well-known complication, with an incidence of 4%-12%, and the most common mechanisms have been found to be related to cerebral arteritis. 1,9 Because of the limited information available, it is unknown whether the cerebrovascu- lar events mainly result from direct mechanical injury by the worms or are caused by indirect mechanisms such as inflammatory destruction.…”

Section: Discussionmentioning

confidence: 99%

Angiographic findings in 2 children with cerebral paragonimiasis with hemorrhage

Chen¹,

Chen²,

Miao³

et al. 2013

PED

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Hemorrhagic events associated with cerebral paragonimiasis are not rare, especially in children and adolescents; however, angiographic evidence of cerebrovascular involvement has not been reported. The authors describe angiographic abnormalities of the cerebral arteries seen in 2 children in whom cerebral paragonimiasis was associated with hemorrhagic stroke. The patients presented with acute intracerebral and subarachnoid hemorrhage. Angiography revealed a beaded appearance and long segmental narrowing of arteries, consistent with arteritis. In both patients, involved vessels were seen in the area of the hemorrhage. The vascular changes and the hemorrhage, together with new lesions that developed close to the hemorrhage and improved after praziquantel treatment, were attributed to paragonimiasis. Further study of the frequency and mechanism of hemorrhagic cerebrovascular complications associated with cerebral paragonimiasis is needed.

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Cerebrovascular Complications of Neurocysticercosis

Cited by 41 publications

References 69 publications

Under seize: neurocysticercosis in an immigrant woman and review of a growing neglected disease

Under seize: neurocysticercosis in an immigrant woman and review of a growing neglected disease

Conservative management of neurocysticercosis in a patient with hematopoietic stem cell transplantation: a case report and review

Angiographic findings in 2 children with cerebral paragonimiasis with hemorrhage

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