Background:Dense exudate during the calcification of cerebral cysticercosis in basal subarachnoid space was easy to be misdiagnosed as subarachnoid hemorrhage(SAH);clinical evaluation and MRI can help differentiate SA...Background:Dense exudate during the calcification of cerebral cysticercosis in basal subarachnoid space was easy to be misdiagnosed as subarachnoid hemorrhage(SAH);clinical evaluation and MRI can help differentiate SAH from pseudo-SAH.Case presentation:A case of ventricular expansion accompanied by high-density shadows in cisterna circinata cerebri was taken to the hospital for treatment due to sudden faint.This patient was diagnosed as subarachnoid hemorrhage according to computed tomography(CT)in another hospital.We believe that the high density in cisterna circinata cerebri was misdiagnosed as subarachnoid hemorrhage(SAH)1 year ago.The main etiology of SAH is aneurysm;non-aneurysmal SAH associated with cerebral cysticercosis is extremely rare.Only 5 patients have been reported.Conclusion:This case indicated that although the specificity of CT for SAH is very high,the physicians should be aware of rare false positive findings,called pseudo-SAH.展开更多
To probe the significance of specific IgG4 in sera of patients with cerebral cys ticercosis for diagnosis and therapeutic evaluation Methods Specific IgG4 in sera of patients with cerebral cysticercosis was assessed...To probe the significance of specific IgG4 in sera of patients with cerebral cys ticercosis for diagnosis and therapeutic evaluation Methods Specific IgG4 in sera of patients with cerebral cysticercosis was assessed using colloidal gold labeled mouse anti human IgG4 McAb as probe The results wer e compared with the CT image manifestation Results The specific IgG4 positive rate in sera of patients with cerebral cysticercosis was 97 8%, whereas sera from patients with other kinds of parasitosis or centra l nerve system disease and the control group were all negative, except for a wea k cross reaction of sera from patients with hepatic echinococoosis The determ ination of specific IgG4 in sera of patients with cerebral cysticercosis during different times of treatment showed that along with an increase in treatment tim e and improvement of clinical symptoms, specific IgG4 level gradually decreased The positive rate and intensity of specific IgG4 in sera from patients with c erebral cysticercosis were consistent with the number of cysticercus parasites i n the brain and pathologic changes, such as survival, disintegration, death and calcification Survival of cysticercus in the brain was ABSTRACTly evaluated u sing this technique Conclusions The determination of specific IgG4 in sera is a practical method for diagnosis a nd therapeutic evaluation of cerebral cysticercosis展开更多
ZHU Liping , WENG Xinhua , SHI Yaozhong, PAN Xiaozhang and MO Ling Department of Infectious Diseases, Hua Shan Hospital, Fudan University, Shanghai 200040, China (Zhu LP, Weng XH, Shi YZ, Pan XZ and Mo L)
基金Science and Technology Project of Liaoning Province(2019JH8,10300066,2020-MS-147)。
文摘Background:Dense exudate during the calcification of cerebral cysticercosis in basal subarachnoid space was easy to be misdiagnosed as subarachnoid hemorrhage(SAH);clinical evaluation and MRI can help differentiate SAH from pseudo-SAH.Case presentation:A case of ventricular expansion accompanied by high-density shadows in cisterna circinata cerebri was taken to the hospital for treatment due to sudden faint.This patient was diagnosed as subarachnoid hemorrhage according to computed tomography(CT)in another hospital.We believe that the high density in cisterna circinata cerebri was misdiagnosed as subarachnoid hemorrhage(SAH)1 year ago.The main etiology of SAH is aneurysm;non-aneurysmal SAH associated with cerebral cysticercosis is extremely rare.Only 5 patients have been reported.Conclusion:This case indicated that although the specificity of CT for SAH is very high,the physicians should be aware of rare false positive findings,called pseudo-SAH.
文摘To probe the significance of specific IgG4 in sera of patients with cerebral cys ticercosis for diagnosis and therapeutic evaluation Methods Specific IgG4 in sera of patients with cerebral cysticercosis was assessed using colloidal gold labeled mouse anti human IgG4 McAb as probe The results wer e compared with the CT image manifestation Results The specific IgG4 positive rate in sera of patients with cerebral cysticercosis was 97 8%, whereas sera from patients with other kinds of parasitosis or centra l nerve system disease and the control group were all negative, except for a wea k cross reaction of sera from patients with hepatic echinococoosis The determ ination of specific IgG4 in sera of patients with cerebral cysticercosis during different times of treatment showed that along with an increase in treatment tim e and improvement of clinical symptoms, specific IgG4 level gradually decreased The positive rate and intensity of specific IgG4 in sera from patients with c erebral cysticercosis were consistent with the number of cysticercus parasites i n the brain and pathologic changes, such as survival, disintegration, death and calcification Survival of cysticercus in the brain was ABSTRACTly evaluated u sing this technique Conclusions The determination of specific IgG4 in sera is a practical method for diagnosis a nd therapeutic evaluation of cerebral cysticercosis
文摘ZHU Liping , WENG Xinhua , SHI Yaozhong, PAN Xiaozhang and MO Ling Department of Infectious Diseases, Hua Shan Hospital, Fudan University, Shanghai 200040, China (Zhu LP, Weng XH, Shi YZ, Pan XZ and Mo L)
