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NEUROLOGY 1983;33:1078
© 1983 American Academy of Neurology

Carotid occlusion in cysticercosis

Georges F. McCormick, MD, Steven Giannotta, MD, Chi-shing Zee, MD and Mark Fisher, MD

Departments of Neurology (Drs. McCormick and Fisher), Neurosurgery (Dr. Giannotta), and Neuroradiology (Dr. Zee), LAC/USC Medical Center, Los Angeles, CA.

A man without orthostatic hypotension had transient ischemic attacks that were initiated by upright posture. CT showed a cystic mass in the interhemispheric fissure and basilar cisterns. Cerebral angiography demonstrated supraclinoid occlusion of the right internal carotid artery. At frontal craniotomy, cysticercosis cysts were found adherent to a pulseless right internal carotid artery. This is the first antemortem documentation of a large artery occlusion directly related to Cysticercosis racemosus.

Address correspondence and reprint requests to Dr. McCormick, Neurology Service, Research 4, Massachusetts General Hospital, Fruit Street, Boston, MA 02114.

Accepted for publication December 5, 1982.




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