A. Benomar et al., MIDDLE CEREBRAL-ARTERY OCCLUSION DUE TO HYDATID CYSTS OF MYOCARDIAL AND INTRAVENTRICULAR CAVITY CARDIAC ORIGIN - 2 CASES, Stroke, 25(4), 1994, pp. 886-888
Background Hemispheric strokes of hydatid origin are very rare. We des
cribe two cases of middle cerebral artery occlusion by a cyst of cardi
ac origin. Case Descriptions Cerebral angiography demonstrated occlusi
on of the initial segment of the middle cerebral artery. Myocardial an
d pericardial cysts were diagnosed by echography and pathological exam
ination. Subsequent development of hydatid cysts within the necrotic a
rea of the infarcted hemisphere suggests cerebral hydatid embolism of
cardiac origin. Conclusions In endemic areas, embolism of hydatid cyst
s should be considered in the diagnosis of stroke in young patients.