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Thirty-five patients had focal cysticercosis(13 with small-and 22 with large-vessel angitis),and 30 had diffuse disease with either small-or large-vessel involvement.A high frequency of subarachnoidal cysts was found,neighboring the ischemic area.Patients with focal cysticercosis had a vascular onset in 80%compared with 20%in those with diffuse cysticercosis(P<.001).Distinctive findings in diffuse cysticercosis were hydrocephalus(80%),multiple cerebral infarcts(64%),and mental disorders (43%)(P<.001).There was a close parallelism between the type of cysticercosis and the degree of cerebrospinal fluid inflammatory changes, reflecting in the outcome.Death or incapacitating sequelae were associated with diffuse cysticercosis,and total recovery was common in patients with focal disease and small-vessel angitis,whereas intermediate morbimortality occurred with focal cysticercosis and large-vessel vasculitis.Based on the distribution of cysticercal disease and the severity of concomitant chronic arachnoiditis,it is possible to identify a wide spectrum of cerebrovascular involvement caused by neurocysticercosis. |
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angiitis
angiography,cerebral
arachnoiditis
arteritides
cerebrospinal fluid
cerebrospinal fluid,abnormal
cerebrovascular accident
cerebrovascular accident,multiple
cerebrovascular accident,vascular territory involved
cysticercosis
cysticercosis,cerebral
gadolinium
headache
hydrocephalus
hypoglycorrhachia
mortality
movement disorder
MRI
MRI,abnormal
MRI,contrast enhanced
parasitic infection,CNS
prognosis
steroid
steroid therapy,CNS treatment and complications with
transient ischemic attack
treatment of neurologic disorder
vasculitides
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