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Inflammatory aneurysm and neurocysticercosis: further evidence for a causal relationship? Case report
P P Huang1, H F Choudhri, G Jallo
1Department of Neurosurgery, New York University Medical Center, New York 10016, USA.
Objective And Importance:
Two cases of inflammatory aneurysms in patients with neurocysticercosis have been reported previously. Clinical and radiographic studies suggest a causal relationship.
Clinical Presentation:
A man with neurocysticercosis presented with an acute subarachnoid hemorrhage from a left middle cerebral artery aneurysm.
Intervention:
The patient underwent a craniotomy and clipping of his aneurysm. Diffuse inflammatory changes and multiple cysticercal cysts were found throughout the left sylvian fissure.
Conclusion:
The patient had an uneventful recovery. Angiography suggested an inflammatory rather than a congenital aneurysm. Although rare, neurocysticercosis may induce aneurysm formation in the appropriate setting.