Cerebral cysticercosis mimicking subarachnoid hemorrhage: a case report

Abstract Background Dense 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 acc...

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Main Authors: Tao Liu, Tingzhong Wang, Yijun Bao, Jinghua Du, Yongchang Guan
Format: Article
Language:English
Published: BMC 2021-09-01
Series:Chinese Neurosurgical Journal
Subjects:
Online Access:https://doi.org/10.1186/s41016-021-00258-w
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author Tao Liu
Tingzhong Wang
Yijun Bao
Jinghua Du
Yongchang Guan
author_facet Tao Liu
Tingzhong Wang
Yijun Bao
Jinghua Du
Yongchang Guan
author_sort Tao Liu
collection DOAJ
description Abstract Background Dense 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. Conclusion This 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.
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spelling doaj.art-d49e11a4365541ada28f0c07c0047e092022-12-21T22:27:10ZengBMCChinese Neurosurgical Journal2057-49672021-09-01711510.1186/s41016-021-00258-wCerebral cysticercosis mimicking subarachnoid hemorrhage: a case reportTao Liu0Tingzhong Wang1Yijun Bao2Jinghua Du3Yongchang Guan4Department of Neurosurgery, The Fourth Affiliated Hospital of China Medical UniversityDepartment of Neurosurgery, The Fourth Affiliated Hospital of China Medical UniversityDepartment of Neurosurgery, The Fourth Affiliated Hospital of China Medical UniversityDepartment of Neurology, The Fourth Affiliated Hospital of China Medical UniversityDepartment of Neurosurgery, The Fourth Affiliated Hospital of China Medical UniversityAbstract Background Dense 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. Conclusion This 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.https://doi.org/10.1186/s41016-021-00258-wCerebral cysticercosisSubarachnoid hemorrhageComputed tomographyMagnetic resonance imagingMisdiagnosis
spellingShingle Tao Liu
Tingzhong Wang
Yijun Bao
Jinghua Du
Yongchang Guan
Cerebral cysticercosis mimicking subarachnoid hemorrhage: a case report
Chinese Neurosurgical Journal
Cerebral cysticercosis
Subarachnoid hemorrhage
Computed tomography
Magnetic resonance imaging
Misdiagnosis
title Cerebral cysticercosis mimicking subarachnoid hemorrhage: a case report
title_full Cerebral cysticercosis mimicking subarachnoid hemorrhage: a case report
title_fullStr Cerebral cysticercosis mimicking subarachnoid hemorrhage: a case report
title_full_unstemmed Cerebral cysticercosis mimicking subarachnoid hemorrhage: a case report
title_short Cerebral cysticercosis mimicking subarachnoid hemorrhage: a case report
title_sort cerebral cysticercosis mimicking subarachnoid hemorrhage a case report
topic Cerebral cysticercosis
Subarachnoid hemorrhage
Computed tomography
Magnetic resonance imaging
Misdiagnosis
url https://doi.org/10.1186/s41016-021-00258-w
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AT tingzhongwang cerebralcysticercosismimickingsubarachnoidhemorrhageacasereport
AT yijunbao cerebralcysticercosismimickingsubarachnoidhemorrhageacasereport
AT jinghuadu cerebralcysticercosismimickingsubarachnoidhemorrhageacasereport
AT yongchangguan cerebralcysticercosismimickingsubarachnoidhemorrhageacasereport