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
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)
