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[Acute meningitis with cerebrospinal fluid eosinophilia: neurocysticercosis]

H J Matschke1, B Flentje, P Lippmann

  • 1Neurologische Klinik, Zentralklinik für Psychiatrie und Neurologie Wilhelm Griesinger, Berlin.

Psychiatrie, Neurologie, Und Medizinische Psychologie
|September 1, 1989
PubMed

Insights

Neurocysticercosis, a rare parasitic infection, presented as acute meningitis in an 18-year-old in Central Europe. Short-term Praziquantel treatment showed positive outcomes for this rare neurological condition.

Area of Science:

  • Neurology
  • Infectious Diseases
  • Parasitology

Background:

  • Neurocysticercosis is a rare parasitic infection of the central nervous system, typically found in endemic regions.
  • Its presentation in Central Europe is exceptionally uncommon, making diagnosis challenging.

Observation:

  • An 18-year-old patient presented with symptoms of acute meningitis.
  • Cerebrospinal fluid analysis revealed significant eosinophilia, a key indicator of parasitic or allergic reactions.

Findings:

  • The patient was diagnosed with neurocysticercosis, despite the rarity of the disease in the region.
  • A short-term treatment course with Praziquantel was administered.

Implications:

  • This case highlights the importance of considering rare parasitic infections in differential diagnoses, even in non-endemic areas.
  • Successful treatment with Praziquantel suggests its efficacy in managing neurocysticercosis presenting as meningitis.

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