The treatment of angiostrongyliasis is generally supportive with analgesics for pain and corticosteroids to limit the inflammatory reaction. Therapeutic lumbar punctures, repeated as clinically indicated, may help relieve headache, which can be debilitating and unremitting, in patients with elevated intracranial pressure. No anti-helminthic drugs have been proven to be effective in treatment; there has been concern that anti-helminthics could exacerbate neurological symptoms due to the inflammatory response to the dying worms. Additional symptomatic treatment may also be required for nausea, vomiting, and in some cases, chronic pain due to nerve damage and muscle atrophy.
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