Communicating Hydrocephalus as a Complication of Eosinophilic Meningoencephalitis
Kittisak Sawanyawisuth MD*, Jureerat Thammaroj MD**, Panita Limpawattana MD*, Pewpan M Intapan MD***, Somsak Tiamkao MD*, Suthipun Jitpimolmard MD*
Affiliation : * Departments of Medicine, Faculty of Medicine, Khon Kaen University, Khon Kaen ** Departments of Radiology, Faculty of Medicine, Khon Kaen University, Khon Kaen *** Departments of Parasitology, Faculty of Medicine, Khon Kaen University, Khon Kaen
The authors reported an adult patient with communicating hydrocephalus in eosinophilic menin- goencephalitis. He presented with localized peritonitis and then developed eosinophilic meningoencephali- tis. Angiostrongylus cantonensis was the causative agent. This was confirmed by the positive serology test. His consciousness did not recover after supportive treatment. The MRI of the brain showed diffuse enlargement of the ventricular system two weeks after the diagnosis was made. The parameters for hydrocephalus were measured and were compatible with the Gyldensted’s criteria.
Keywords : Communicating hydrocephalus, Eosinophilic meningitis, MRI, Angiostrongylus cantonensis
