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.

DESIGN

Case report.

PATIENT: 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.

CONCLUSION

Intramedullary neurocysticercosis should be considered as a potentially treatable cause of multilevel spinal lesions with subacute meningitis.