Reversible parkinsonian syndrome complicating cysticercus midbrain encephalitis.
We describe a clinical picture similar to Parkinson's disease in a patient with midbrain encephalitis due to cysticercosis. The clinical, radiographic, and cerebrospinal fluid findings suggested an inflammatory reaction to a dying cyst that involved midbrain structures. The encephalopathy appeared to worsen temporarily after the institution of anticysticercus therapy. A discordance between worsening parkinsonian symptoms and improving pyramidal features was noted. Virtually a complete clinical recovery eventually ensued.
Verma
A
A
Department of Neurology, University of Miami School of Medicine, FL 33136, USA.
Berger
J R
JR
Bowen
B C
BC
Sanchez-Ramos
J
J
D000328:Adult; D003551:Cysticercosis; D004660:Encephalitis / Q000175:diagnosis* / Q000628:therapy; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008636:Mesencephalon; D010302:Parkinson Disease, Secondary / Q000150:complications*; D014057:Tomography, X-Ray Computed