Neurocysticercosis Presenting as Chronic Relapsing Aseptic Meningitis

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Distinguishing between recurrent and relapsing meningitis can be difficult, particularly in those instances when cerebrospinal fluid is not analyzed during resolved or asymptomatic periods. Relapsing meningitis is a rare clinical entity and implies a chronic condition characterized by spans of time void of any symptoms, during which time the etiology or stimulus for the chronic meningeal inflammatory process has been either partially responsive to treatment or has eluded a specific diagnosis altogether. We report a case of neurocysticercosis that presented in such a relapsing fashion that necessitated an open craniotomy to eventually make a diagnosis and allow for specific treatment.

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