A 1-week course of corticosteroids in the treatment of eosinophilic meningitis

Clinical manifestations of eosinophilic meningitis caused by Angiostrongylus cantonensis: 18 years’ experience in a medical center in southern Taiwan

“…It was believed that corticosteroid therapy was able to decrease duration of headache in the randomized double-blind placebocontrolled studies in Thailand. 27 In another study, Sawanyawisuth et al 28 and others showed a shorter course (one week) of corticosteroid had the same beneficial effect in relieving headaches as a 2-week course. Anthelminthic agents were not recommended because of possibility of exacerbating symptoms resulting from inflammatory responses because of the death of larvae in isolated reports or experimental infection studies.…”

A case of eosinophilic meningitis in Germany

“…There's no established treatment neither for angiostrongyliasis nor for toxocariasis. Successful treatment over the course of 1 to 2 weeks with prednisolone alone, albendazole alone or the combination of both have been described [3][4][5][6][7]. Interestingly our patient did not improve before tapering prednisolone.…”

Eosinophilic meningitis caused by Angiostrongylus cantonensis: an emergent disease in Brazil

“…Minor side effects, such as transient facial oedema, may occur during the course of treatment. An open-label study using a one-week corticosteroid course showed a similar mean duration of headache (4.8 days) compared with other regimens (Sawanyawisuth et al 2004), but the headache relapsed within two weeks in approximately 15% of the patients.…”

“…Repeated lumbar punctures as needed to decrease intracranial pressure, thereby reducing pain symptoms, have also been recommended (Graeff-Teixeira et al 2009). The severity of a headache declines rapidly following a lumbar puncture (Sawanyawisuth et al 2004). …”