Helsen Gregory, Vandecasteele Stefaan J, Vanopdenbosch Ludo J
Department of Neurology, Antwerp University Hospital, Wilrijkstraat 10, 2650 Edegem, Belgium.
Case Rep Med. 2011;2011:503913. doi: 10.1155/2011/503913. Epub 2011 May 5.
We describe a farmer who presented with a clinical picture of a transverse thoracic myelitis. MRI showed inflammatory lesions in brain and thoracic spinal cord. Toxocariasis was suspected because of eosinophilia in blood and cerebrospinal fluid, and this diagnosis was confirmed immunologically. He was successfully treated with antihelminthics in combination with corticosteroids. Neurotoxocariasis is rare and diagnosis can be difficult because of the different and atypical clinical manifestations. It should be considered in every case of central neurological syndrome associated with eosinophilia.
我们描述了一位表现为横贯性胸段脊髓炎临床症状的农民。磁共振成像(MRI)显示脑部和胸段脊髓有炎症性病变。由于血液和脑脊液中嗜酸性粒细胞增多,怀疑为弓蛔虫病,且这一诊断通过免疫学得到了证实。他接受了抗蠕虫药联合皮质类固醇的成功治疗。神经弓蛔虫病较为罕见,由于临床表现多样且不典型,诊断可能会很困难。在每一例伴有嗜酸性粒细胞增多的中枢神经综合征病例中都应考虑到该病。