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Yonsei University College of Medicine, Yonsei Medical Journal, 6(51), p. 978, 2010

DOI: 10.3349/ymj.2010.51.6.978

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Claude's Syndrome Associated with Neurocysticercosis

Journal article published in 2010 by Tae-Jin Song, Sang Hyun Suh ORCID, Hanna Cho, Kyung-Yul Lee ORCID
This paper is made freely available by the publisher.
This paper is made freely available by the publisher.

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Abstract

Claude's syndrome is a distinctive brainstem syndrome characterized by ipsilateral third cranial nerve palsy with contralateral hemiataxia and is due to an intrinsic or extrinsic lesion in the midbrain. We report a case of Claude's syndrome caused by neurocysticercosis infection. A 68 year-old Asian man was admitted to our hospital because of ataxia, left ptosis, and diplopia. Brain magnetic resonance imaging (MRI) showed a cystic lesion in the midbrain, which was surrounded by ring enhancement and peripheral edema. Neurocysticercosis infection was diagnosed by the cerebral spinal fluid study. The patient was treated with albendazole and steroids. A follow-up brain MRI three months later demonstrated the disappearance of a surrounding brain edema and rim enhancement. The most common cause of Claude's syndrome is cerebrovascular disease and malignancy. However, there is no report caused by neurocysticercosis infection. Therefore, if we encounter Claude's syndrome, we should consider neurocysticercosis infection as one of the etiologic factors.