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Amir M. Torabi, MD; Mary Quiceno, MD; Dianne B. Mendelsohn, MD; Craig M. Powell, MD, PhD

Arch Neurol. 2004;61:770-772.

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.

From the Departments of Neurology (Drs Torabi, Quiceno, and Powell), Radiology (Dr Mendelsohn), and Psychiatry (Dr Powell), The University of Texas Southwestern Medical Center, Dallas.