Meningeal cysticercosis diagnosed in Western Australia.

Two cases of the relatively unusual meningeal form of intracranial cysticercosis are described in adult Italian immigrants to Western Australia. Each presented solely with raised intracranial pressure caused by communicating hydrocephalus in association with chronic meningitis, characterized by a very low cerebrospinal fluid glucose level. The diagnosis was confirmed histologically on tissue obtained fortuitously at lumbar puncture. These cases draw attention to the epidemiological implications of cysticercosis in the Australian scene. As well, they demonstrate that repeated cerebrospinal fluid analysis may result in diagnostic confirmation of intracerebral cysticercosis of the racemose type.