Cerebral cysticercosis mimicking subarachnoid hemorrhage: a case report.

Tao Liu, Tingzhong Wang, Yijun Bao, Jinghua Du, Yongchang Guan

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Article in Chinese neurosurgical journal, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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5 · Who and what money

Authors and funding

5 authors.

Tao LiuDepartment of Neurosurgery, The Fourth Affiliated Hospital of China Medical University, Shenyang, 110032, China.

Tingzhong WangDepartment of Neurosurgery, The Fourth Affiliated Hospital of China Medical University, Shenyang, 110032, China.

Yijun BaoDepartment of Neurosurgery, The Fourth Affiliated Hospital of China Medical University, Shenyang, 110032, China.

Jinghua DuDepartment of Neurology, The Fourth Affiliated Hospital of China Medical University, Shenyang, 110032, China.

Yongchang GuanDepartment of Neurosurgery, The Fourth Affiliated Hospital of China Medical University, Shenyang, 110032, China. gyc821129@163.com.

Funding

Department of Science and Technology of Liaoning Province 2019JH8University of Science and Technology Liaoning 10300066University of Science and Technology Liaoning 2020-MS-147

6 · The paper itself

Abstract

backgroundDense exudate during the calcification of cerebral cysticercosis in basal subarachnoid space was easy to be misdiagnosed as subarachnoid hemorrhage (SAH); clinical evaluation and MRI can help differentiate SAH from pseudo-SAH. CASE PRESENTATION: A case of ventricular expansion accompanied by high-density shadows in cisterna circinata cerebri was taken to the hospital for treatment due to sudden faint. This patient was diagnosed as subarachnoid hemorrhage according to computed tomography (CT) in another hospital. We believe that the high density in cisterna circinata cerebri was misdiagnosed as subarachnoid hemorrhage (SAH) 1 year ago. The main etiology of SAH is aneurysm; non-aneurysmal SAH associated with cerebral cysticercosis is extremely rare. Only 5 patients have been reported.

conclusionThis case indicated that although the specificity of CT for SAH is very high, the physicians should be aware of rare false positive findings, called pseudo-SAH.

Indexed as

Cerebral cysticercosisComputed tomographyMagnetic resonance imagingMisdiagnosisSubarachnoid hemorrhage

Identifiers

PMID34470663

DOI10.1186/s41016-021-00258-w

PMCPMC8411545

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