Document Detail


Resolution of arterial stenosis in a patient with periarterial neurocysticercosis treated with oral prednisone.
MedLine Citation:
PMID:  17156699     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Neurocysticercosis is the most common parasitic infection of the central nervous system. Neurovascular complications have been recognized as a frequent complication, with up to 10% of strokes in endemic areas being secondary to neurocysticercosis. We report a case of acute transient left hemichorea in an 11-year-old boy with cerebral cysticercosis involving the right middle cerebral artery. Brain magnetic resonance imaging (MRI) revealed T(2)-weighted hyperintensity and gadolinium enhancement in the area surrounding the M1 segment of the right middle cerebral artery. Magnetic resonance angiography showed severe narrowing of the vessel at this site acutely. After treatment with a 1-month course of oral prednisone and initiation of aspirin, our patient had no recurrence of abnormal movements and follow-up magnetic resonance angiography and transcranial Doppler ultrasonography showed resolution of stenosis of the M1 segment.
Authors:
Anthony Bouldin; Joseph D Pinter
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of child neurology     Volume:  21     ISSN:  0883-0738     ISO Abbreviation:  J. Child Neurol.     Publication Date:  2006 Dec 
Date Detail:
Created Date:  2006-12-12     Completed Date:  2007-02-23     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8606714     Medline TA:  J Child Neurol     Country:  Canada    
Other Details:
Languages:  eng     Pagination:  1064-7     Citation Subset:  IM    
Affiliation:
Division of Pediatric Neurology, University of Washington School of Medicine, Seattle, WA, USA. tbouldin100@yahoo.com
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MeSH Terms
Descriptor/Qualifier:
Anti-Inflammatory Agents / administration & dosage
Anti-Inflammatory Agents, Non-Steroidal / administration & dosage
Aspirin / administration & dosage
Child
Chorea / drug therapy,  parasitology,  pathology
Gadolinium / diagnostic use
Humans
Infarction, Middle Cerebral Artery / diagnosis*,  drug therapy,  parasitology*
Magnetic Resonance Angiography
Magnetic Resonance Imaging
Male
Middle Cerebral Artery / parasitology*,  pathology*,  ultrasonography
Neurocysticercosis / complications*
Prednisone / administration & dosage*
Treatment Outcome
Ultrasonography, Doppler, Transcranial
Chemical
Reg. No./Substance:
0/Anti-Inflammatory Agents; 0/Anti-Inflammatory Agents, Non-Steroidal; 50-78-2/Aspirin; 53-03-2/Prednisone; 7440-54-2/Gadolinium

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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