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Subarachnoid Hemorrhage in Neurocysticercosis
- Source :
- The Neurologist. 18:324-328
- Publication Year :
- 2012
- Publisher :
- Ovid Technologies (Wolters Kluwer Health), 2012.
-
Abstract
- Introduction The cerebrovascular complications in neurocysticercosis (NC) are uncommon. However, their pathophysiology remains unknown, but may be likely related to chronic inflammatory processes in the subarachnoid space (basal meningitis). Alterations of inflammatory cytokines in cerebrospinal fluid and sera correlate with vasospasm in SAH; these inflammatory mediators in NC may induce aneurysm formation. Case reports A 7-year retrospective study in a neurological referral center (Instituto Nacional de Neurologia y Neurocirugia), showed 3 cases of subarachnoid hemorrhage (SAH) among the 267 NC patients admitted during the study period. The clinical status, cerebrospinal fluid parameters, and clinical outcome were retrieved to compare them with previous NC-related SAH reported patients. Six of 15 patients showed aneurysm. These aneurysms were found within foci of inflammation and fibrosis surrounding the parasites. Conclusions We found that, in contrast with the ominous prognosis of SAH for ruptured congenital aneurysm, cases associated with NC may have a more benign course. However with limited clinical information provided by previous reports, we only propose a possible direct relationship between chronic inflammation and NC as an inference because of the limited evidence available.
- Subjects :
- Adult
Male
medicine.medical_specialty
Subarachnoid hemorrhage
Neurocysticercosis
Gastroenterology
Aneurysm
Cerebrospinal fluid
Internal medicine
medicine
Humans
cardiovascular diseases
Retrospective Studies
Inflammation
business.industry
Intracranial Aneurysm
Vasospasm
Retrospective cohort study
General Medicine
Subarachnoid Hemorrhage
Prognosis
medicine.disease
nervous system diseases
medicine.anatomical_structure
Female
Neurology (clinical)
Inflammation Mediators
Subarachnoid space
Tomography, X-Ray Computed
business
Meningitis
Subjects
Details
- ISSN :
- 10747931
- Volume :
- 18
- Database :
- OpenAIRE
- Journal :
- The Neurologist
- Accession number :
- edsair.doi.dedup.....985cc74a7db1eb89225bd6007d465cb6