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Hemorrhagic stroke and cerebral paragonimiasis.
Stroke. 2014 Nov; 45(11):3420-2.S

Abstract

BACKGROUND AND PURPOSE

We retrospectively analyzed the clinical and imaging characteristics, diagnosis, and treatment outcomes of 10 patients with hemorrhagic cerebral paragonimiasis (CP), and we evaluated the influence of Paragonimus infection on cerebrovascular damage.

METHODS

Ten patients (7 male and 3 female; median age 15.7 years, range 4-46 years) with hemorrhagic CP were diagnosed between April 2009 and January 2013. All patients underwent the head computed tomography scans and 9 patients underwent MRI examinations. Four patients underwent computed tomographic angiography, magnetic resonance angiography, and digital subtraction angiography. Liquid-based cytological examination of cerebrospinal fluid was performed in 7 patients. Follow-up examinations were performed for 9 cases for a period of 12 to 62 months.

RESULTS

Hemorrhagic CP accounted for 37% of CP cases (10/27). No patients were initially diagnosed with CP. The major symptoms of hemorrhagic CP included acute headache, vomiting, hemiparalysis, epilepsy, blurred vision, sensory impairment, and tinnitus. Four cases were surgically treated. Most symptoms markedly improved, but fine motor dysfunction and mental dysfunction remained in 3 surgical patients.

CONCLUSIONS

Hemorrhagic stroke typically occurred during the acute stage and in the early stages of further Paragonimus migration. Delay of treatment increased the risk of initial and recurrent stroke.

Authors+Show Affiliations

From the Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, People's Republic of China.From the Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, People's Republic of China.From the Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, People's Republic of China.From the Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, People's Republic of China.

Pub Type(s)

Journal Article

Language

eng

PubMed ID

25270625

Citation

Xia, Yong, et al. "Hemorrhagic Stroke and Cerebral Paragonimiasis." Stroke, vol. 45, no. 11, 2014, pp. 3420-2.
Xia Y, Ju Y, Chen J, et al. Hemorrhagic stroke and cerebral paragonimiasis. Stroke. 2014;45(11):3420-2.
Xia, Y., Ju, Y., Chen, J., & You, C. (2014). Hemorrhagic stroke and cerebral paragonimiasis. Stroke, 45(11), 3420-2. https://doi.org/10.1161/STROKEAHA.114.007267
Xia Y, et al. Hemorrhagic Stroke and Cerebral Paragonimiasis. Stroke. 2014;45(11):3420-2. PubMed PMID: 25270625.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Hemorrhagic stroke and cerebral paragonimiasis. AU - Xia,Yong, AU - Ju,Yan, AU - Chen,Jing, AU - You,Chao, Y1 - 2014/09/30/ PY - 2014/10/2/entrez PY - 2014/10/2/pubmed PY - 2015/1/27/medline KW - intracranial hemorrhages KW - paragonimiasis KW - surgery SP - 3420 EP - 2 JF - Stroke JO - Stroke VL - 45 IS - 11 N2 - BACKGROUND AND PURPOSE: We retrospectively analyzed the clinical and imaging characteristics, diagnosis, and treatment outcomes of 10 patients with hemorrhagic cerebral paragonimiasis (CP), and we evaluated the influence of Paragonimus infection on cerebrovascular damage. METHODS: Ten patients (7 male and 3 female; median age 15.7 years, range 4-46 years) with hemorrhagic CP were diagnosed between April 2009 and January 2013. All patients underwent the head computed tomography scans and 9 patients underwent MRI examinations. Four patients underwent computed tomographic angiography, magnetic resonance angiography, and digital subtraction angiography. Liquid-based cytological examination of cerebrospinal fluid was performed in 7 patients. Follow-up examinations were performed for 9 cases for a period of 12 to 62 months. RESULTS: Hemorrhagic CP accounted for 37% of CP cases (10/27). No patients were initially diagnosed with CP. The major symptoms of hemorrhagic CP included acute headache, vomiting, hemiparalysis, epilepsy, blurred vision, sensory impairment, and tinnitus. Four cases were surgically treated. Most symptoms markedly improved, but fine motor dysfunction and mental dysfunction remained in 3 surgical patients. CONCLUSIONS: Hemorrhagic stroke typically occurred during the acute stage and in the early stages of further Paragonimus migration. Delay of treatment increased the risk of initial and recurrent stroke. SN - 1524-4628 UR - https://www.unboundmedicine.com/medline/citation/25270625/full_citation L2 - https://www.ahajournals.org/doi/10.1161/STROKEAHA.114.007267?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -