Multilevel intramedullary spinal neurocysticercosis with eosinophilic meningitis.
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.


METHODS
Case report.


METHODS
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.


CONCLUSIONS
Intramedullary neurocysticercosis should be considered as a potentially treatable cause of multilevel spinal lesions with subacute meningitis.
Torabi
Amir M
AM
Department of Neurology, The University of Texas Southwestern Medical Center, Dallas, USA.
Quiceno
Mary
M
Mendelsohn
Dianne B
DB
Powell
Craig M
CM
D000328:Adult; D003937:Diagnosis, Differential; D004802:Eosinophilia / Q000000981:diagnostic imaging / Q000473:pathology*; D006801:Humans; D008279:Magnetic Resonance Imaging; D008297:Male; D008581:Meningitis / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology*; D020019:Neurocysticercosis / Q000150:complications / Q000000981:diagnostic imaging / Q000473:pathology*; D011859:Radiography; D013118:Spinal Cord Diseases / Q000000981:diagnostic imaging / Q000473:pathology*