{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,18]],"date-time":"2026-05-18T11:29:23Z","timestamp":1779103763987,"version":"3.51.4"},"reference-count":6,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"11","content-domain":{"domain":["www.ahajournals.org"],"crossmark-restriction":true},"short-container-title":["Stroke"],"published-print":{"date-parts":[[2014,11]]},"abstract":"<jats:sec>\n            <jats:title>Background and Purpose\u2014<\/jats:title>\n            <jats:p>\n              We retrospectively analyzed the clinical and imaging characteristics, diagnosis, and treatment outcomes of 10 patients with hemorrhagic cerebral paragonimiasis (CP), and we evaluated the influence of\n              <jats:italic>Paragonimus<\/jats:italic>\n              infection on cerebrovascular damage.\n            <\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Methods\u2014<\/jats:title>\n            <jats:p>Ten patients (7 male and 3 female; median age 15.7 years, range 4\u201346 years) with hemorrhagic CP were diagnosed between April 2009 and January 2013. All patients underwent the head computed tomography scans and 9 patients underwent MRI examinations. Four patients underwent computed tomographic angiography, magnetic resonance angiography, and digital subtraction angiography. Liquid-based cytological examination of cerebrospinal fluid was performed in 7 patients. Follow-up examinations were performed for 9 cases for a period of 12 to 62 months.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Results\u2014<\/jats:title>\n            <jats:p>Hemorrhagic CP accounted for 37% of CP cases (10\/27). No patients were initially diagnosed with CP. The major symptoms of hemorrhagic CP included acute headache, vomiting, hemiparalysis, epilepsy, blurred vision, sensory impairment, and tinnitus. Four cases were surgically treated. Most symptoms markedly improved, but fine motor dysfunction and mental dysfunction remained in 3 surgical patients.<\/jats:p>\n          <\/jats:sec>\n          <jats:sec>\n            <jats:title>Conclusions\u2014<\/jats:title>\n            <jats:p>\n              Hemorrhagic stroke typically occurred during the acute stage and in the early stages of further\n              <jats:italic>Paragonimus<\/jats:italic>\n              migration. Delay of treatment increased the risk of initial and recurrent stroke.\n            <\/jats:p>\n          <\/jats:sec>","DOI":"10.1161\/strokeaha.114.007267","type":"journal-article","created":{"date-parts":[[2014,10,1]],"date-time":"2014-10-01T04:57:30Z","timestamp":1412139450000},"page":"3420-3422","update-policy":"https:\/\/doi.org\/10.1161\/crossmarkpolicy","source":"Crossref","is-referenced-by-count":19,"title":["Hemorrhagic Stroke and Cerebral Paragonimiasis"],"prefix":"10.1161","volume":"45","author":[{"given":"Yong","family":"Xia","sequence":"first","affiliation":[{"name":"From the Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, People\u2019s Republic of China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yan","family":"Ju","sequence":"additional","affiliation":[{"name":"From the Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, People\u2019s Republic of China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jing","family":"Chen","sequence":"additional","affiliation":[{"name":"From the Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, People\u2019s Republic of China."}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chao","family":"You","sequence":"additional","affiliation":[{"name":"From the Department of Neurosurgery, West China Hospital, Sichuan University, Chengdu, People\u2019s Republic of China."}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"276","reference":[{"key":"e_1_3_2_2_2","doi-asserted-by":"publisher","DOI":"10.3171\/2010.9.PEDS1099"},{"key":"e_1_3_2_3_2","first-page":"847","volume-title":"Hunter\u2019s Tropical Medicine and Emerging Infectious Diseases","author":"Bunnay D","year":"2000","unstructured":"Bunnay D, Cross JH, Bunnay T. Lung fluke infections: paragonimiasis. In:, Strickland GT. Hunter\u2019s Tropical Medicine and Emerging Infectious Diseases. 8th Ed. Philadelphia, PA: WB Saunders Co; 2000:847\u2212851.","edition":"8"},{"key":"e_1_3_2_4_2","first-page":"192","article-title":"Emerging problems of parasitic diseases in southern Kyusyu, Japan.","volume":"45","author":"Maruyama H","year":"1996","unstructured":"Maruyama H, Noda S, Nawa Y. Emerging problems of parasitic diseases in southern Kyusyu, Japan. Jpn J Parasitol. 1996;45:192\u2013200.","journal-title":"Jpn J Parasitol"},{"key":"e_1_3_2_5_2","first-page":"332","article-title":"A national survey on current status of important parasitic diseases in human population.","volume":"23","author":"Xu LQ","year":"2005","unstructured":"Xu LQ. A national survey on current status of important parasitic diseases in human population. Zhongguo Ji Sheng Chong Xue Yu Ji Sheng Chong Bing Za Zhi. 2005;23:332\u2013340.","journal-title":"Zhongguo Ji Sheng Chong Xue Yu Ji Sheng Chong Bing Za Zhi"},{"key":"e_1_3_2_6_2","doi-asserted-by":"publisher","DOI":"10.1016\/S1473-3099(11)70294-8"},{"key":"e_1_3_2_7_2","doi-asserted-by":"publisher","DOI":"10.3171\/2013.1.PEDS12475"}],"container-title":["Stroke"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ahajournals.org\/doi\/full\/10.1161\/STROKEAHA.114.007267","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,5,13]],"date-time":"2024-05-13T14:24:49Z","timestamp":1715610289000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ahajournals.org\/doi\/10.1161\/STROKEAHA.114.007267"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2014,11]]},"references-count":6,"journal-issue":{"issue":"11","published-print":{"date-parts":[[2014,11]]}},"alternative-id":["10.1161\/STROKEAHA.114.007267"],"URL":"https:\/\/doi.org\/10.1161\/strokeaha.114.007267","relation":{},"ISSN":["0039-2499","1524-4628"],"issn-type":[{"value":"0039-2499","type":"print"},{"value":"1524-4628","type":"electronic"}],"subject":[],"published":{"date-parts":[[2014,11]]},"assertion":[{"value":"2014-08-30","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-09-11","order":1,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2014-09-30","order":2,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}