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Practical Neurology 2007;7:48-51
Copyright © 2007 by the BMJ Publishing Group Ltd.

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Neurological rarity

Eosinophilic myelitis, a souvenir from South East Asia

Erich Schmutzhard

Correspondence to:
Correspondence to:
E Schmutzhard
Professor of Critical Care Medical University Hospital Innsbruck, Department of Neurology, Anichstrasse 35, A-6020 Innsbruck, Austria; erich.schmutzhard@uibk.ac.at

The first 150 words of the full text of this article appear below.


Figure 2
Third stage larva of Gnathostoma spinigerum (courtesy of Professor Athasit Vejjajiva, Bangkok, Thailand).

The term eosinophilic meningitis and myelitis theoretically encompasses all the conditions causing meningitis and/or myelitis associated with eosinophilia in the cerebrospinal fluid (CSF) (table 1Go). But when imported from South East Asia it refers more specifically to the neurological complications of infestation with the nematode worms Angiostrongylus cantonensis and Gnathostoma spinigerum. Humans are accidental hosts of these tissue nematodes, they become infected by ingesting undercooked fish or poultry, or raw snails. The third stage larvae of these parasites migrate through various tissues of the host, including the eye and the central nervous system (CNS), Gnathostoma spinigerum larvae showing a particular neurotropism.2


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Table 1 Causes of an acute eosinophilic meningitis and/or myelitis
 
A CASE

A 22 year old female student spent her three month summer vacation travelling, on a low budget, through Thailand and Myanmar. Apart from two short episodes . . . [Full text of this article]




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A. Chancellor
A souvenir from the Pacific Islands
Practical Neurology, June 1, 2007; 7(3): 205 - 205.
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