Abstracts/Presentation Description
Allisa Robertson1
1Royal Darwin Hospital
A case of Australian-acquired neurosparganosis causing cauda equina syndrome was confirmed with nucleic acid amplification testing using pan-cestode primers. Complete surgical removal was not possible. Treatment with a 3 day course of praziquantel was complicated by neurological deterioration suggestive of a paradoxical inflammatory response. Recrudescence of disease occurred within a couple of years with new intraventricular and cerebral disease causing obstructive hydrocephalus requiring decompressive craniotomy and ventriculo-peritoneal shunt insertion. High dose praziquantel was prescribed with prophylactic dexamethasone. Treatment is planned to continue until resolution of radiological findings that are suggestive of active infection.
1Royal Darwin Hospital
A case of Australian-acquired neurosparganosis causing cauda equina syndrome was confirmed with nucleic acid amplification testing using pan-cestode primers. Complete surgical removal was not possible. Treatment with a 3 day course of praziquantel was complicated by neurological deterioration suggestive of a paradoxical inflammatory response. Recrudescence of disease occurred within a couple of years with new intraventricular and cerebral disease causing obstructive hydrocephalus requiring decompressive craniotomy and ventriculo-peritoneal shunt insertion. High dose praziquantel was prescribed with prophylactic dexamethasone. Treatment is planned to continue until resolution of radiological findings that are suggestive of active infection.
Speaker/Presenting Authors
Authors
Submitting/Presenting Authors
Dr Allisa Robertson - Royal Darwin Hospital (Northern Territory , Australia)