OBJECTIVE: Parasitic myelopathy is rare. We report ectopic infestation of the spine by Fasciola hepatica. CLINICAL PRESENTATION: A young woman presented with gradual onset paraplegia with bladder and bowel involvement. A magnetic resonance imaging scan showed an epidural mass lesion that was isotense on T1-weighted images and hyperintense on T2-weighted images, extending from T4-T7 vertebra with extradural cord compression. She was diagnosed with cord compression, possibly owing to tubercular epidural granulation tissue. INTERVENTION: During surgery, a mobile, flat, leaf-like, pink parasite was found in the epidural space. Morphological and histological indices confirmed the parasite as Fasciola hepatica. CONCLUSION: Ectopic spinal localization of Fasciola may occur during the transmigration path of the parasite through peritoneum or from the liver through portal venous system.
OBJECTIVE: Parasitic myelopathy is rare. We report ectopic infestation of the spine by Fasciola hepatica. CLINICAL PRESENTATION: A young woman presented with gradual onset paraplegia with bladder and bowel involvement. A magnetic resonance imaging scan showed an epidural mass lesion that was isotense on T1-weighted images and hyperintense on T2-weighted images, extending from T4-T7 vertebra with extradural cord compression. She was diagnosed with cord compression, possibly owing to tubercular epidural granulation tissue. INTERVENTION: During surgery, a mobile, flat, leaf-like, pink parasite was found in the epidural space. Morphological and histological indices confirmed the parasite as Fasciola hepatica. CONCLUSION: Ectopic spinal localization of Fasciola may occur during the transmigration path of the parasite through peritoneum or from the liver through portal venous system.
Authors: Mohamed A Mekky; Mohammed Tolba; Mohamed O Abdel-Malek; Wael A Abbas; Mohamed Zidan Journal: Am J Trop Med Hyg Date: 2015-04-13 Impact factor: 2.345
Authors: Ah Jin Kim; Chang Hwan Choi; Sun Keun Choi; Yong Woon Shin; Yun-Kyu Park; Lucia Kim; Suk Jin Choi; Jee Young Han; Joon Mee Kim; Young Chae Chu; In Suh Park Journal: Korean J Parasitol Date: 2015-12-31 Impact factor: 1.341
Authors: Mohamad Ahmad Najib; Noor Jamil Noor Izani; Wan Abdul Wahab Wan Nor Amilah; Arizam Muhamad Faez; Zainuddin Shafizol Journal: Malays J Med Sci Date: 2020-02-27