Case Report Middle Cerebral Artery Occlusion Due to Hydatid Cysts of Myocardial and Intraventricular Cavity Cardiac Origin Two Cases
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چکیده
A 21-year-old woman, without significant medical history, acutely developed a left hemiparesis with left hypoesthesia. Three days earlier she had complained of itching with nettle rash, headache, and fever (38°C). A noncontrast computed tomographic (CT) scan (Fig 1A) revealed a right MCA infarct. Cerebral angiography showed an abrupt cutoff of the right proximal Ml segment, which was compatible with embolism (Fig IB). There was no evidence of other occlusions or vasculitis. Cerebrospinal fluid and blood tests (including white blood cell count) were normal. Hemiparesis improved progressively over 3 months. Nine months later intracranial hypertension developed, and hemiparesis worsened. CT scans showed a cyst in the territory of the right MCA infarct (Fig 1C). Hydatid cysts were also found in the pericardium (Fig 2A) and kidneys, liver, and spleen (Fig 2B). Subsequently, cysts also developed in the brain stem. Cysts in the heart (left atrial cavity,
منابع مشابه
Middle cerebral artery occlusion due to hydatid cysts of myocardial and intraventricular cavity cardiac origin. Two cases.
BACKGROUND Hemispheric strokes of hydatid origin are very rare. We describe two cases of middle cerebral artery occlusion by a cyst of cardiac origin. CASE DESCRIPTIONS Cerebral angiography demonstrated occlusion of the initial segment of the middle cerebral artery. Myocardial and pericardial cysts were diagnosed by echography and pathological examination. Subsequent development of hydatid cy...
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