4 Albendazole (ABZ) is given at 10 to 15 mg/kg body weight in 2 divided doses daily for 5 to 15 days and is considered by several authors as the treatment of choice [2, 3]. Thiaben- dazole (TBZ) is not recommended because of a high rate of side eﬀects (including cholestasis and hepatitis) [1]. Corti- costeroids are sometimes added to antihelminthics to reduce the acute inﬂammatory and immunologic manifestations [1–3]. In neurotoxocariasis in particular, corticosteroids are thought to be important because the central nervous system lesions are more likely to represent inﬂammatory reactions rather than abscess formation [1, 5]. 4. Conclusion We present this case because of the unusual combination of spinal cord and cerebral lesions in toxocariasis. To our knowledge, our patient represents the ﬁrst adult described in English literature with concomitant involvement of brain and spinal cord (documented with MRI). Neurotoxocariasis can result in varying and atypical neurological manifes- tations, including one that simulates acute disseminated encephalomyelitis. One should consider neurotoxocariasis in every central neurological syndrome associated with eosinophilia. Treatment consists of the combination of anti- helminthics and corticosteroids. A detailed history taking is important, especially with regard to travelling. Toxocara canis occurs worldwide. If the patient has recently travelled abroad, diﬀerential diagnosis of eosinophilic meningitis/myelitis is more extensive and includes Taenia solium, Gnathostoma spinigerum, Angiostrongylus cantonensis, and Baylisascaris procyonis [8–10]. References [1] J. F. Magnaval and L. T. Glickman, “Management and treatment options for human Toxocariasis,” in Toxocara: The Enigmatic Parasite, C. V. Holland and H. V. Smith, Eds., pp. 113–126, CABI Publishing, 2006. [2] D. Despommier, “Toxocariasis: clinical aspects, epidemiology, medical ecology, and molecular aspects,” Clinical Microbiology Reviews, vol. 16, no. 2, pp. 265–272, 2003. [3] D. B. Huang, P. M. Schantz, and A. Clinton White, “Helminthic infections,” in Infections of the Central Nervous System, W. M. Scheld, R. J. Whitley, and C. M. Marra, Eds., pp. 816–818, Lippincott Williams & Wilkins, Philadelphia, Pa, USA, 3rd edition, 2004. [4] M. D. Walker and J. R. Zunt, “Neuroparasitic infections: nematodes,” Seminars in Neurology, vol. 25, no. 3, pp. 252–261, 2005. [5] V. Dauriac-Le Masson, F. Chochon, S. Demeret, and C. Pierrot-Deseilligny, “Toxocara canis meningomyelitis,” Journal of Neurology, vol. 252, no. 10, pp. 1267–1268, 2005. [6] C. Marx, J. Lin, M. R. Masruha et al., “Toxocariasis of the CNS simulating acute disseminated encephalomyelitis,” Neurology, vol. 69, no. 8, pp. 806–807, 2007. [7] S. F. Moreira-Silva, M. G. Rodrigues, J. L. Pimenta, C. P. Gomes, L. H. Freire, and F. E. L. Pereira, “Toxocariasis of the central nervous system: with report of two cases,” Revista da Sociedade Brasileira de Medicina Tropical, vol. 37, no. 2, pp. 169–174, 2004. Case Reports in Medicine [8] A. M. Torabi, M. Quiceno, D. B. Mendelsohn, and C. M. Powell, “Multilevel intramedullary spinal neurocysticercosis with eosinophilic meningitis,” Archives of Neurology, vol. 61, no. 5, pp. 770–772, 2004. [9] S. Gupta, P. K. Singh, B. Gupta, V. Singh, and A. Azam, “Isolated primary intradural extramedullar spinal neuro- cysticercosis: a case report and review of literature,” Acta Neurologica Taiwanica, vol. 18, no. 3, pp. 187–192, 2009. [10] E. Schmutzhard, “Eosinophilic myelitis, a souvenir from South East Asia,” Practical Neurology, vol. 7, no. 1, pp. 48–51, 2007.