Sacral myeloradiculitis (Elsberg syndrome) secondary to eosinophilic meningitis caused by Angiostrongylus cantonensis

Elsberg syndrome secondary to eosinophilic meningitis caused by Angiostrongylus cantonensis is uncommon. Clinicians should consider a wide differential diagnosis including tumour, spinal cord infarction, necrosis, vasculitis, drug induced or other sources of infection. In addition, acute urinary ret...

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Bibliographic Details
Published in:BMJ case reports 2009, Vol.2009 (aug03 1), p.bcr1020081075-bcr1020081075
Main Authors: Hsu, Jui-Jen, Chuang, Shin-Hung, Chen, Chia-Hsin, Huang, Mao-Hsiung
Format: Article
Language:English
Subjects:
Abdomen
Asia
Catheters
Chinese
Consciousness
Delirium
Diagnostic tests
Fever
Glucose
Headaches
Infections
Leukocytes
Magnetic resonance imaging
Male
Meningitis
Nervous system
Nuclear power plants
Parasites
Proteins
Rehabilitation
Spinal cord
Unusual Presentation of More Common Disease/Injury
Urinary retention
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Summary:Elsberg syndrome secondary to eosinophilic meningitis caused by Angiostrongylus cantonensis is uncommon. Clinicians should consider a wide differential diagnosis including tumour, spinal cord infarction, necrosis, vasculitis, drug induced or other sources of infection. In addition, acute urinary retention is a urological emergency and clinicians should keep in mind the prevention of bladder overdistension. The intervention of rehabilitation programmes and clean intermittent catheterisation education for bladder management, in accordance with the patient’s condition, is also important. Earlier rehabilitation is important to ensure a speedy recovery and to prevent further complications.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr.10.2008.1075