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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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      Affiliations
      [1 ] Department of Medicine, Section of Infectious Diseases, Baylor College of Medicine, One Baylor Plaza, Houston, TX 77030, USA. GMViola@mdanderson.org
      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
      21363977
      84/3/402
      10.4269/ajtmh.2011.10-0429
      3042815

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