Annals of Tropical Medicine and Public Health

LETTER TO THE EDITOR
Year
: 2015  |  Volume : 8  |  Issue : 3  |  Page : 76-

Neurocysticercosis and microbleed


Beuy Joob1, Viroj Wiwanitkit2,  
1 Sanitation 1 Medical Academic Center, Bangkok, Thailand
2 Hainan Medical University, Hainan, China

Correspondence Address:
Dr. Beuy Joob
Sanitation 1 Medical Academic Center, Bangkok
Thailand




How to cite this article:
Joob B, Wiwanitkit V. Neurocysticercosis and microbleed.Ann Trop Med Public Health 2015;8:76-76


How to cite this URL:
Joob B, Wiwanitkit V. Neurocysticercosis and microbleed. Ann Trop Med Public Health [serial online] 2015 [cited 2020 Aug 6 ];8:76-76
Available from: http://www.atmph.org/text.asp?2015/8/3/76/157645


Full Text

Dear Sir,

Neurocysticercosis is an important tropical neurological parasitosis. The disease is reported worldwide, and it is very interesting. Normally it is a chronic silent infestation until the occurrence of neurological symptoms, and the imaging investigation usually provides the first clue for diagnosis. However, it is sometimes difficult to make a differential diagnosis of the infection. The situation involving "neurocysticercosis and microbleed" is very interesting. Del Brutto et al. concluded that "calcified cysticercotic lesions should be included in the list of microbleed mimics" and that "CT should be performed in doubtful cases to avoid overdiagnosis of cerebral microbleeds." [1] In fact, the use of imaging might be helpful for distinguishing between neurocysticercosis and microbleed. However, additional investigation, such as the immunological test, should be made to confirm the diagnosis of cysticercosis. In addition, bleeding can also be the a complication of neurocysticercosis, [2] hence, the co-occurrence of the two conditions in the same subject should not be overlooked. Finally, apart from calcified microbleed, other differential diagnoses for calcified neurocysticercosis include tuberculosis and metastasis. [3]

References

1Del Brutto OH, Lama J, Zambrano M, Del Brutto VJ. Neurocysticercosis is a neglected microbleed mimic. A cautionary note for stroke neurologists. Eur Neurol 2014;72:306-8.
2Viola GM, White AC Jr, Serpa JA. Hemorrhagic cerebrovascular events and neurocysticercosis: A case report and review of the literature. Am J Trop Med Hyg 2011;84:402-5.
3Graña L, Santamaría N, Yus M, Méndez R. Calcified cerebral metastasis. Radiologia 2007;49:335-7.