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A Woman With Eosinophilic Brainstem Meningoencephalitis

Educational Objective
Based on this clinical scenario and the accompanying image, understand how to arrive at a correct diagnosis.
1 Credit CME

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Article Information

Corresponding Author: Lucas Fernandes Ferreira, Department of Neurology, Hospital das Clinicas da Faculdade de Medicina da Universidade de Sao Paulo, Dr Eneas de Carvalho de Aguiar St 255, Sao Paulo, SP, 05403-000, Brazil (lucasfernandes150@gmail.com).

Published Online: January 10, 2022. doi:10.1001/jamaneurol.2021.4861

Conflict of Interest Disclosures: None reported.

Additional Contributions: We thank the patient’s sister for granting permission to publish this information.

References
1.
Moragas  M , Martínez-Yélamos  S , Majós  C , Fernández-Viladrich  P , Rubio  F , Arbizu  T .  Rhombencephalitis: a series of 97 patients.   Medicine (Baltimore). 2011;90(4):256-261. doi:10.1097/MD.0b013e318224b5afPubMedGoogle ScholarCrossref
2.
Shih  RY , Koeller  KK .  Bacterial, fungal, and parasitic infections of the central nervous system: radiologic-pathologic correlation and historical perspectives: from the radiologic pathology archives.   Radiographics. 2015;35(4):1141-1169. doi:10.1148/rg.2015140317PubMedGoogle ScholarCrossref
3.
Saleem  S , Belal  AI , El-Ghandour  NM .  Spinal cord schistosomiasis: MR imaging appearance with surgical and pathologic correlation.   AJNR Am J Neuroradiol. 2005;26(7):1646-1654.PubMedGoogle Scholar
4.
Lo Re  V  III , Gluckman  SJ .  Eosinophilic meningitis.   Am J Med. 2003;114(3):217-223. doi:10.1016/S0002-9343(02)01495-XPubMedGoogle Scholar
5.
Sawanyawisuth  K , Chotmongkol  V .  Eosinophilic meningitis.   Handb Clin Neurol. 2013;114:207-215. doi:10.1016/B978-0-444-53490-3.00015-7PubMedGoogle ScholarCrossref
6.
Ferrari  TCA , Moreira  PRR .  Neuroschistosomiasis: clinical symptoms and pathogenesis.   Lancet Neurol. 2011;10(9):853-864. doi:10.1016/S1474-4422(11)70170-3PubMedGoogle ScholarCrossref
7.
Lindholz  CG , Favero  V , Veríssimo  CM ,  et al.  Study of diagnostic accuracy of Helmintex, Kato-Katz, and POC-CCA methods for diagnosing intestinal schistosomiasis in Candeal, a low intensity transmission area in northeastern Brazil.   PLoS Negl Trop Dis. 2018;12(3):e0006274. doi:10.1371/journal.pntd.0006274PubMedGoogle Scholar
8.
Centers for Disease Control (CDC).  Acute schistosomiasis with transverse myelitis in American students returning from Kenya.   MMWR Morb Mortal Wkly Rep. 1984;33(31):445-447.PubMedGoogle Scholar
9.
Bruscky  IS , Bruscky  DMV , Melo  FL , Medeiros  ZM , Correia  CDC .  Cerebral mansoni schistosomiasis: a systematic review of 33 cases published from 1989 to 2019.   Trans R Soc Trop Med Hyg. Published online May 26, 2021. doi:10.1093/trstmh/trab067Google Scholar
10.
Gray  DJ , Ross  AG , Li  YS , McManus  DP .  Diagnosis and management of schistosomiasis.   BMJ. 2011;342:d2651. doi:10.1136/bmj.d2651PubMedGoogle ScholarCrossref
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