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[Misleading presentation of rhombencephalitis due to Listeria monocytogenes]

G Gutiérrez-Gutiérrez1, A Marinas Alejo, J Bautista Espinal

  • 1Servicio de Neurología, Hospital Donostia, San Sebastián. g3.neuro@ya.com

Neurologia (Barcelona, Spain)
|December 1, 2005
PubMed
Abstract

Insights

Listeria monocytogenes rhombencephalitis can mimic cranial nerve disorders. This case highlights its presentation as symmetrical cranial nerve palsies, crucial for accurate diagnosis.

Area of Science:

  • Neurology
  • Infectious Diseases

Background:

  • Listeria monocytogenes can cause rhombencephalitis, a brainstem inflammation.
  • Rhombencephalitis presentations are diverse and can be challenging to diagnose.

Observation:

  • A 76-year-old male presented with symmetrical cranial nerve palsies (V, VII, IX-X), ophthalmoparesis, and miosis.
  • The patient showed no signs of long tract lesions, mimicking peripheral nervous system or neuromuscular junction disease.

Findings:

  • Blood cultures and MRI confirmed rhombencephalitis caused by Listeria.
  • The clinical presentation mimicked cranial nerve multineuritis syndrome.

Implications:

  • Rhombencephalitis should be considered in cases of acute, symmetrical cranial nerve palsies.
  • Early and accurate diagnosis of Listeria rhombencephalitis is vital for appropriate treatment and patient outcomes.

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