Central American mesencephalopathy

Barrett Katz

Research output: Contribution to journalArticlepeer-review

9 Scopus citations


A 31-year-old Hispanic laborer sought medical attention for a four-day history of posterior headaches and double vision. The headache spontaneously resolved, but the patient continued to experience vertical diplopia. The neuro-ophthalmic exam revealed minimal anisocoria and subtle deficits of vertical motion of the left eye. MRI scanning demonstrated a lesion within the midbrain on the left side. Lumbar puncture revealed cells consisting primarily of lymphocytes and eosinophils. Both serum and cerebrospinal fluid revealed glycoproteins indicative of a cysticercosis infection. The patient was treated with Praziquantel and steroids with improvement of his oculomotor function.

Original languageEnglish (US)
Pages (from-to)253-259
Number of pages7
JournalSurvey of Ophthalmology
Issue number3
StatePublished - 1994


  • cysticercosis
  • eosinophilic meningitis
  • glycoproteins
  • headache
  • midbrain lesion
  • neurocysticercosis
  • oculomotor nerve paresis
  • praziquantel
  • third nerve palsy

ASJC Scopus subject areas

  • Ophthalmology


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