Third-stage larvae of Elaphostrongylus cervi, originating from red dee
r (Cervus elaphus), first reached the central nervous system (CNS) of
guinea pigs (Cavia porcellus) 11 days postinfection (DPI). Neurologic
signs were seen between 11 and 62 DPI in 4 of a total of 18 infected g
uinea pigs killed up to 112 DPI. Animals showing signs had 3 or more l
arvae in the CNS. Only 1, of a total of 1,114 larvae recovered, had de
veloped to the fourth stage at 40 DPI. A direct tissue migration by th
ird-stage larvae to the CNS was revealed by pressing and digesting alm
ost all body tissues and by histological examination. Larvae penetrate
d through the stomach wall into the peritoneal cavity and then through
the diaphragm into the pleural cavity. Many became encapsulated by in
flammatory cells in the omentum, abdominal mesentery, mediastinum, and
just beneath the liver capsule and lung pleura. A total of 44 larvae
succeeded in reaching the CNS, apparently by migrating from the body c
avities into muscles of the lateral body wall and entering the vertebr
al canal, likely along spinal nerves. Data were not consistent with a
hematogenous migratory route that has been proposed previously. Few th
ird-stage larvae of E. alces, originating from moose (Alces alces), we
re able to penetrate the gut of guinea pigs and none reached the CNS.