rss
BMJ Case Reports 2009; doi:10.1136/bcr.10.2008.1075
  • Unusual presentation of more common disease/injury

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

  1. Jui-Jen Hsu1,
  2. Shin-Hung Chuang2,
  3. Chia-Hsin Chen3,
  4. Mao-Hsiung Huang3
  1. 1
    Kaohsiung Medical University Hospital, Department of Physical Medicine and Rehabilitation, No.100, Tzyou 1st Road Kaohsiung, Taiwan, Kaohsiung, 807, Taiwan
  2. 2
    Kaohsiung Medical University Hospital, Physical Medicine and Rehabilitation, No.100, Tzyou 1st Road Kaohsiung, Taiwan, Kaohsiung, 807, Taiwan
  3. 3
    School of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan, No.100, Tzyou 1st Road Kaohsiung, Taiwan, Kaohsiung, 807, Taiwan
  1. Jui-Jen Hsu, bm8900014{at}yahoo.com.tw
  • Published 3 August 2009

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.

Footnotes

  • Competing interests: none.

  • Patient consent: Patient/guardian consent was obtained for publication

This Article

  1. Summary
  2. Full text

Responses

  1. Submit a response
  2. No responses published

Register for free content

The full text of all Editor's Choice articles and summaries of every article are free without registration

The full text of Images in ... articles are free to registered users

Only fellows can access the full text of case reports (apart from Editor's Choice) - become a fellow today, or encourage your institution to, so that together we can grow and develop this resource

Don't forget to sign up for content alerts so you keep up to date with all the case reports as they are published, and let us know what you think by commenting on the Editor's blog