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[Neurocysticercosis disclosed by cerebrovascular complication]
N Gauthier1, S Sangla, A Stroh-Marcy
1Service de Radiologie, Hôpital Delafontaine, Saint-Denis.
Abstract:
Cysticercosis in one of the most common parasitoses in the world but is rare in France. This is the case of a thirty two years old man who had a stroke which revealed a neurocysticercosis, the diagnosis of which appeared on CT-scan. MR-imaging gave a more precise topographical diagnosis of the cysticercosis lesions and allowed a physiopathological understanding of the stroke. The ischemic lesion in the lenticulostriate territory was due to cysts in the sylvian fissure at the level of the beginning of those arteries with a perilesional inflammatory reaction. We learned the link between cysticercosis and stroke studing the cases reported in the literature.
Insights
Neurocysticercosis, a rare parasitic infection in France, can cause strokes. This case highlights how brain imaging can diagnose neurocysticercosis and reveal its link to ischemic events.
Area of Science:
- Neurology
- Infectious Diseases
- Radiology
Background:
- Cysticercosis is a globally prevalent parasitic infection.
- Neurocysticercosis, its neurological form, is uncommon in France.
Observation:
- A 32-year-old man presented with a stroke.
- Computed tomography (CT) scan revealed neurocysticercosis.
- Magnetic resonance (MR) imaging provided detailed topographical diagnosis of lesions.
Findings:
- The stroke's ischemic lesion was in the lenticulostriate territory.
- Cysts in the sylvian fissure, near artery origins, caused the lesion.
- A perilesional inflammatory reaction was noted.
Implications:
- This case underscores the importance of considering neurocysticercosis in stroke etiology.
- MR imaging is crucial for understanding the pathophysiology of stroke in neurocysticercosis.
- Literature review reinforces the association between cysticercosis and stroke.