Occlusion of the middle cerebral artery due to cysticercotic angiitis

Three patients with cysticercosis developed a cerebral infarct secondary to the occlusion of the middle cerebral artery or its major branches. Histopathologic examination revealed a large subarachnoid cysticercus surrounding the occluded arteries in two patients and diffuse thickening of the leptome...

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Bibliographic Details
Published in:Stroke (1970) 1989-08, Vol.20 (8), p.1095-1099
Main Authors: RODRIGUEZ-CARBAJAL, J, DEL BRUTTO, O. H, PENAGOS, P, HUEBE, J, ESCOBAR, A
Format: Article
Language:English
Subjects:
Adult
Arterial Occlusive Diseases - parasitology
Biological and medical sciences
Cerebral Arterial Diseases - parasitology
Cerebral Infarction - etiology
Cysticercosis
Cysticercosis - complications
Diseases caused by cestodes
Female
Helminthic diseases
Humans
Infectious diseases
Male
Medical sciences
Nervous system involvement in other diseases. Miscellaneous
Neurology
Parasitic diseases
Tropical medicine
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Summary:Three patients with cysticercosis developed a cerebral infarct secondary to the occlusion of the middle cerebral artery or its major branches. Histopathologic examination revealed a large subarachnoid cysticercus surrounding the occluded arteries in two patients and diffuse thickening of the leptomeninges in one. Blood vessels around the parasite showed inflammatory changes that caused either occlusive endarteritis or thrombosis due to disruption of the endothelium. Cysticercosis should be considered as a cause of occlusion of the major intracranial vessels, particularly in young patients living in areas where this disease is endemic.
ISSN:0039-2499
1524-4628
DOI:10.1161/01.STR.20.8.1095