BACKGROUND: Schistosomal infestation of the central nervous system is a rare cause of cord compression, although a predominant one in endemic areas. CASE DESCRIPTION: A 38-year-old male, native of Ivory Coast, with a history of 1 month of progressive paraparesis, neurogenic bladder, diminished deep tendon reflexes of the lower limbs, and sensory level. The magnetic resonance imaging (MRI) showed a medullary lesion at D4-D5 level, suggestive of an intramedullary tumor. Laminotomy of D3 to D5 and excision of a grayish white lesion according to a preliminary histopathologic review suggestive of a high grade glioma. Definitive histopathology review established the diagnosis of medullary schistosomiasis. CONCLUSION: Schistosomal myeloradiculopathy should be considered in patients presenting with cord compression or features of transverse myelitis, especially in patients from endemic areas or low social economic settlements.
BACKGROUND: Schistosomal infestation of the central nervous system is a rare cause of cord compression, although a predominant one in endemic areas. CASE DESCRIPTION: A 38-year-old male, native of Ivory Coast, with a history of 1 month of progressive paraparesis, neurogenic bladder, diminished deep tendon reflexes of the lower limbs, and sensory level. The magnetic resonance imaging (MRI) showed a medullary lesion at D4-D5 level, suggestive of an intramedullary tumor. Laminotomy of D3 to D5 and excision of a grayish white lesion according to a preliminary histopathologic review suggestive of a high grade glioma. Definitive histopathology review established the diagnosis of medullary schistosomiasis. CONCLUSION: Schistosomal myeloradiculopathy should be considered in patients presenting with cord compression or features of transverse myelitis, especially in patients from endemic areas or low social economic settlements.
Authors: Luciana Cristina dos Santos Silva; Pedro Ernane Maciel; João Gabriel Ramos Ribas; Sílvio Roberto de Sousa Pereira; José Carlos Serufo; Luciene Mota Andrade; Carlos Maurício Antunes; José Roberto Lambertucci Journal: Rev Soc Bras Med Trop Date: 2004 May-Jun Impact factor: 1.581
Authors: Daniella Brito Rodrigues; Anderson Batista Rodrigues; Joao Welberthon Matos Queiroz; Murillo Cunegatto Braga; William Seiti Kita; Ricardo Henrique Doria Netto; Rafael Wilson de Souza; Paulo Roberto Napoli; Allexsandro Aparecido Alvarenga Nascimento Faria de Luna Journal: Surg Neurol Int Date: 2020-11-06