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Multilevel intramedullary spinal neurocysticercosis with eosinophilic meningitis
Amir M Torabi1, Mary Quiceno, Dianne B Mendelsohn
1Department of Neurology, The University of Texas Southwestern Medical Center, Dallas, USA.
Background:
Cysticercal involvement of the spinal cord is a very rare form of neurocysticercosis. Intramedullary cysts are even less common.
Objective:
To describe a novel presentation of multilevel intramedullary neurocysticercosis with eosinophilic meningitis.
Design:
Case report.
Patient:
A 35-year-old man with a history of cerebral neurocysticercosis who presented with both cauda equina and Brown-Sequard syndromes associated with cerebrospinal fluid findings of eosinophilic meningitis.
Results:
Magnetic resonance imaging confirmed the multilevel intramedullary cord lesions. The patient was treated medically with dexamethasone and albendazole and had a good recovery.
Conclusion:
Intramedullary neurocysticercosis should be considered as a potentially treatable cause of multilevel spinal lesions with subacute meningitis.
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