Chronic pachymeningitis associated to hypereosinophilia: case report

Paquimeningitis crónica asociada a hipereosinofilia: relato de caso

J. Correale^I; S. Ameriso^I; F. Meli^II; R. Rey^I; O. Garcea^I; D. Monteverde^I

^IDivision of Neurology, J. M. Ramos Mejía Hospital, Buenos Aires

^IINeurological Research Center Dr. Raúl Carrea, Buenos Aires

SUMMARY

A male 22 years old patient who consulted due to headache and increasing visual loss is being presented. Alterations in the exam were represented by right amaurosis and left temporal hemianopsis. Pathological and tomographical studies revealed chronic pachymeningitis with eosinophilic infiltration. An elevated eosinophilia and an increasing in anti-A and anti-B isoagglutinins were associated to the clinical course. They returned to normal values after treatment with tiabendazol. Even though there is not a certain conclusion as regards the etiology, the probable parasitary nature of the process is outlined.

RESÚMEN

Un paciente de 22 años de sexo masculino, que consulto por cefaleas y disminución de la agudeza visual es presentado. Los hallazgos patológicos del examen físico estuvieron representados por amaurosis derecha y hemianopsia temporal izquierda. Los estudios tomográficos y anatomopatológicos permitieron concluir en una paquimeningitis crónica con infiltrado eosinofílico. Una importante eosinofilia y un incremento en las isoaglutininas anti-A y anti-B se vieron asociadas al cuadro. Las mismas se normalizaron luego del tratamiento con tiabendazol. Si bien no se puede concluir con certeza en el diagnóstico etiológico, se plantea la probable naturaleza parasitaria del proceso.

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Dr. J. Correale - División de Neurología, Hospital J. M. Ramos Mejia - Urquisa 609 -1221 Buenos Aires - Argentina

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Chronic pachymeningitis associated to hypereosinophilia: case report

Paquimeningitis crónica asociada a hipereosinofilia: relato de caso

Publication Dates

• Publication in this collection
  21 June 2011
• Date of issue
  Dec 1988