Multiple neurocysticercosis and aneurismal subarachnoid hemorrhage: Case presentation and systematic literature review

Neurocysticercosis (NCC) is a global health problem. In more developed countries, NCC is mainly a disease affecting immigrants. In developing countries, NCC is the most common parasitic disease of the nervous system and the main cause of acquired epilepsy. NCC is also an unrecognized cause of strokes and could account for 4%-12% of strokes. Here, I report a case of a 58-year-old woman who presented to the emergency department (ED) with severe headache, vomiting, and sudden loss of consciousness. Multiple NCC and Fisher grade 4 aneurysmal subarachnoid hemorrhage (SAH) were demonstrated by neuroimaging. This patient evolved favorably with albendazole and corticosteroids. This case exemplifies that NCC must be considered in the differential diagnosis of stroke in younger and middle-aged patients, especially if they do not have classical cardiovascular risk factors and come from endemic regions for cysticercosis.