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Published on: December 9, 2014
[Toxocara canis cerebral vasculitis revealed by iterative strokes]
L-D Lompo1, F-K Kamdem, E Revenco
1Service de neurologie 2, hôpital Jean Minjoz, CHU de Besançon, 3 boulevard Fleming, Besançon cedex, France. labodilompo@yahoo.fr
Revue Neurologique
|May 26, 2012
Summary
This case report details a rare instance of Toxocara canis cerebral vasculitis, presenting as strokes and meningitis. Despite treatment, the vasculitis progressed, highlighting diagnostic and therapeutic challenges in managing this severe condition.
Area of Science:
- Neurology
- Infectious Diseases
- Immunology
Background:
- Cerebral vasculitis is a rare and severe neurological condition with diagnostic and treatment challenges.
- Toxocara canis-induced cerebral vasculitis is exceptionally rare, with limited reported cases.
Observation:
- A 49-year-old man presented with stroke, hypereosinophilia, and headaches.
- Cerebral imaging revealed arterial stenoses and contrast-enhanced cerebrospinal fluid.
- Laboratory tests indicated lymphocytic meningitis and Toxocara canis antibodies (IgE) in blood and CSF.
Findings:
- The patient was diagnosed with Toxocara canis cerebral vasculitis.
- Despite treatment, the patient experienced a hemorrhagic stroke, indicating disease progression.
- Conventional cerebral angiography confirmed the worsening vasculitis.
Implications:
- This case underscores the diagnostic and therapeutic complexities of cerebral vasculitis.
- It highlights the importance of considering parasitic infections in unexplained vasculitis.
- Further research is needed to improve management strategies for rare vasculitic conditions.
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