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      Hemorrhagic cerebrovascular events and neurocysticercosis: a case report and review of the literature.

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          Abstract

          Cerebrovascular complications have been reported to occur in patients with neurocysticercosis (NCC). We report a patient who presented with relapsed subarachnoid hemorrhage possibly linked to NCC. In addition, we performed a literature review of all of the reported cases of aneurysmal and non-aneurysmal hemorrhagic cerebrovascular events associated with NCC. We identified 11 such cases. The majority of the individuals were young males (mean: 38 years; 70% males). Four cases (36%) had aneurysms. Four (36%) others had negative cerebral angiograms and therefore classified as non-aneurysmal, while the remaining three (28%) did not report sufficient information to classify them. All cases with aneurysmal hemorrhage underwent successful surgical repair of the aneurysms. Seven patients received albendazole (including three who had had surgery). Three patients died; all three presented in the pre-albendazole era. In summary, neurocysticercosis should be considered in the differential diagnosis of hemorrhagic cerebrovascular events in young patients without classical vascular risk factors who have lived or visited NCC-endemic areas.

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          Author and article information

          Journal
          Am. J. Trop. Med. Hyg.
          The American journal of tropical medicine and hygiene
          American Society of Tropical Medicine and Hygiene
          1476-1645
          0002-9637
          Mar 2011
          : 84
          : 3
          Affiliations
          [1 ] Department of Medicine, Section of Infectious Diseases, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USA. GMViola@mdanderson.org
          84/3/402
          10.4269/ajtmh.2011.10-0429
          3042815
          21363977

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